Surgery Flashcards
Central Abdominal pain and vomiting after right hemicolectomy is caused by?
SBO
Arterial schema will be what in colour
pale/white
Venous ischemia/thrombosis will be which colour
red/dark purple blue
burning sensation and parasthesia in a diabetic is a mark of
diabetic radiculopathy
pain in left iliac fossa with fever
acute diverticulitis; as they are more common in sigmoid colon.
painless hematuria in men is caused by
transitional cell carcinoma of bladder
prostate ca
flank pain, tender abdomen, rigors and hematuria
cause?
could be ureteric calculus
Bright red blood coming separate from the faeces is caused by
haemorrhoids
dark red blood and altered bowel habits is caused by
?malignancy so a colonoscopy is indicated
epigastric and back pain
pale loose stools
cause?
chronic pancreatitis
epigastric and back pain
pale loose stools
obstructive jaundice
cause?
ca of the head of pancreas
pain in left iliac fossa;acute
change in bowel habits
Cause
diverticulitis
pain in left iliac fossa; chronic
change in bowel habits
Cause
crohns or UC
epigastric pain radiating to the back and releiving on sitting forward is caused by?
Pancreatitis
a patient with testicular torsion should be seen within how many hrs
6 hrs to avoid its necrosis
A phosphate enema is sufficient to be given before what kind of procedures
flexi sigi
examination under anaesthesia
hemmorhoidectomy
for what kind of procedures is pico lax required
colonoscopy
resection surgeries
causes of blood stained discharge from the nipple?
1) Pagets disease(dry scaly and cracked skin is a marker of it)
2) benign ductal papillota
treatment of pagets disease when no nodes are involved
breast conservative surgery
treatment of breast carcinoma which has spread to spine and bones.
Treatment?
chemo
not surgery
because we have to decrease the size of all the tumours
treatment o ductal carcinoma inset with isolated tumour cells
isolated tumour cells are treated as negative lymph nodes as per nice
so great conservative surgery will be done.
hypovolemic picture right after the surgery is?
it is hypovolemic shock not anastomotic breakdown because that occurs after around 7 days of surgery and it also presents with fever.
hypovolemic picture right after the surgery is?
it is hypovolemic shock not anastomotic breakdown because that occurs after around 48hrs to 7 days of surgery and it also presents with fever+vague abdominal pain+leading to sepsis+leukocytosis
post op patient with SOB,no chest pain and pyrexia in the first 48 hrs.
complication?
Atelactasis
tracheal deviation happens in a simple or tension pneumothorax or both?
occurs only in tension pneumothorax
parenteral nutrition given to a pt with anorexia developed limb weakness and decreased power
cause?
Refeeding syndrome
rt upper quadrant pain, jaundice and fever; dx?
acute cholangitis
rt upper quadrant pain
dx?
binary colic
Deranged LFT’s after parenteral nutrition
cause?
Cholestasis
vomiting is more pronounced in SBO or LBO?
SBO
constipation is more in SBO or LBO?
LBO
a punched out ulcer not he foot with no pulses felt.
is what kind of ulcer?
tx of it?
arterial ulcer
treated with hydrocolloid dressing which is used for uninfected ulcers.
if incase the ulcer would have been necrosed/turning into black/grey/could see the bone through the ulcer then we could think of debridement//or maggot therapy which is debridements alternative OR amputation.
patients with ileostomy and panprotocolectomy having constipation should be given
magnesium sulphate
not loperamide as it is used in diarrhoea
symptoms of bud chair
abd pain, ascites and hepatomegaly
Mortons granuloma is found on
foot
a pyogenic granuloma is
a hemangioma
a ganglion when removed is yellow in colour
and ostemas/osteosarcomas are paler in colour
fir tree appearance
codman triangle
mets to lungs or elsewhere
pain in knees at night particularly
osteosarcoma
