Surg Recall Section 1:sings, syndromes, stiches and more Flashcards

1
Q

What is Ballance’s sign and what does it indicate?

A

Constant dullness to percussion in left flank/LUQ and resonance to percussion in right flank

Splenic rupture/hematoma

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2
Q

What is Battle’s sign and what does it indicate?

A

Ecchymosis over mastoid process

Basilar skull fracture

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3
Q

What is Beck’s triad and what does it indicate?

A

JVD, decreased/muffled heart sounds, decreased bp

Cardiac tamponade

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4
Q

What is Blumer’s shelf and what does it indicate?

A

Palpable anterior “shelf” on rectal exam

Metastasis to rectouterine or rectovesical pouch

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5
Q

What is Carcinoid triad and what does it indicate?

A

Flushing, diarrhea, right sided heart failure

Carcinoid syndrome

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6
Q

What is Charcot’s triad and what does it indicate?

A

Fever/chills, jaundice, RUQ pain

Cholangitis

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7
Q

What is Chvostek’s sign and what does it indicate?

A

Twitching of facial muscles upon tapping facial nerve

Hypocalcemia

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8
Q

What is Courvoisuer’s sign and what does it indicate?

A

Enlarged palpable non-tender gallbladder

Obstruction of common bile duct most commonly seen with pancreatic cancer

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9
Q

What is Cullen’s sign and what does it indicate?

A

Eccymosis Of periumbilical area

Retroperitoneal hemorrhage

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10
Q

What is Cushing’s triad and what does it indicate?

A

Htn, bradycardia, irregular respirations

Increased intracranial pressure

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11
Q

What is Howship-Romberg sign and what does it indicate?

A

Pain along inner thigh

Obturator hernia

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12
Q

What is Meckel’s diverticulitis rule of 2s?

A

2% of population
2% are symptomatic
Occurs within 2 feet of the ileocecal valve

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13
Q

What is the triad of sx for pheochromocytoma?

A

Palpitations
Headache
Episodic diaphoresis

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14
Q

What do raccoon eyes indicate?

A

Basilar skull fracture

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15
Q

What is Rovsing’s sign and what does it indicate?

A

Referee rebound tenderness (left pressure causes right lower pain)

Appendicitis

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16
Q

What is Virchow’s node and what does it indicate?

A

Metastatic tumor of left supraclavicular node

Usually gastric cancer

17
Q

What is Trousseau’s sign and what does it indicate?

A

Carpal spasm after forearm blood flow occlusion

Hypocalcemia

18
Q

What is Valentino’s sign and what does it indicate?

A

RLQ pain from success/pus draining from perforated peptic ulcer

19
Q

What is Whipple’s triad and what does it indicate?

A

Hypoglycemia, CNS/vasomotor sx, relief of sx with glucose administration

Insulinoma

20
Q

What is Blind loop syndrome and what does it indicate?

A

Bacterial overgrowth of intestine caused by stasis

21
Q

What is Boerhaave’s syndrome?

A

Esophageal perforation

22
Q

What is Buds-Chiari syndrome?

A

Thrombosis of hepatic veins

23
Q

What is carcinoid syndrome?

A

Bronchospasm, flushing, diarrhea, and right-sided heart failure

Caused by factors released by carcinoid tumor

24
Q

What is dumping syndrome?

A

Delivery of a large amount to chyme into small bowel from stomach

Usually occurs after vagotomy or gastric drainage procedure

25
Q

What is Fitz-Hugh-Curtis syndrome?

A

Perihepatic adhesions caused by gonorrhea infection

26
Q

What is Gardner’s syndrome?

A

GI polyps that have a higher malignancy potential. Associated with:

Sebaceous cysts
Osteomas
Desmond tumors

A Gardner plants (SOD)