Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

FINALS - GI > surgery? > Flashcards

surgery? Flashcards

1
Q

what are risk factors for abdominal hernias

A

obesity // ascites // age // surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

features of abdo hernias

A

lump // cough impluse // pain // obstruction // strangulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the most common abdo wall hernia

A

inguinal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

who usually gets inguinal hernias

A

men

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

where do inguinal hernias usually occur + what are symptoms

A

superior and medial to pubic tubercle // discomfort worse on activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

when is surgery indicated for inguinal hernias

A

all patients even if asymptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

surgery for inguinal hernias

A

unilteral = open // bilateral or recurring = lap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

when can you return to work after inguinal hernias

A

open repair (2-3 weeks) // lap (1-2) weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is a direct vs indirect inguinal hernia

A

direct is a bulge in posterior wall of bowel that protrudes into the superficial ring // indirect is herniation down the deep inguinal ring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is an incarcerated hernia and what does it increase risk of

A

non-reducible // risk of strangulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is a strangulated inguinal hernia

A

blood supply to tissue cut off –> ischaemia –> bowel perforation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

symptoms strangulated inguinal hernia

A

pain in perviously aysmptomatic hernia // fever // increased size // peritonitis // bowel obstuction // bloody stool

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

bloods in strangulated hernia

A

raised lactate // raised WCC (leukocytosis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

should you reduce a strangulated inguinal hernia

A

no –> can increase peritonitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what hernia is common in children

A

inguinal hernias (males)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what passage to femoral hernias form

A

through femoral ring –> femoral canal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

anatomy of femoral hernia

A

inferolateral to pubic tubercle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

symptoms femoral hernia

A

mildy painful // non reducable // no cough impulse // multiparous women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

complications femoral hernia

A

straungulation // bowel obstruction// bowel ischaemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

mx femoral hernia

A

surgery - lapaopscopically or open

21
Q

how do direct inguinal hernias form

A

weakness in hesselbach traingle

22
Q

how do indirect hernias form

A

failure of processus vaginalis to close

23
Q

o/e how would you differentiate direct vs indirect hernia

A

reduce –> cover deep inguinal canal –> cough –> reappears = direct // does not reappear = indirect

24
Q

where do epigastric hernias form

A

midline between umbilicus and xiphisternum

25
Q

rf for epigastric hernias

A

teenage boys // exercise // coughing

26
Q

where do umbilical hernias appear and who gets them

A

symmetrically under umbilicus - newborns

27
Q

where do para-umbilical hernias appear and who gets them

A

asymmetric above or below umbilicus - obesity and ascites

28
Q

when would Hartmann’s procedure be indictaed

A

emergency eg bowel obstruction or perforation

29
Q

indication proctocolectomy UC

A

dysplastic transformation

30
Q

mx emergency colitis

A

sub total colectomy + end ileostomy

31
Q

restorative option UC

A

ileoanal pouch (only if rectim in situ)

32
Q

surgical mx chrons

A

small bowe; resections // ileocacel resection

33
Q

4 types of fistulas

A

Enterocutaneous (skin to intestine) // enter colic (large or small intestine) // enterovaginal // enterovesicular (to bladder)

34
Q

invx fistulas

A

barium + CT

35
Q

location + appearance ileostomy

A

RIF, spouted, liquids

36
Q

location + appearance colostomy

A

usually left side, flushed, solids

37
Q

indication loop ileostomy

A

definitioning colon eg rectal cancer to PROTECT for an anastomosis

38
Q

function end ileostomy

A

following complete colon excision with NO plan for anastomosis

39
Q

indication loop colostomy

A

definition single section of colon in obstructing cancer // may be anastomosed later

40
Q

what is abdominal wound dehiscence

A

all layers of abdo closure fail and viscera protrudes externally

41
Q

superficial vs compelete abdominal wound dehiscence

A

superficial = skin // complete = all layers

42
Q

RF abdominal wound dehiscence

A

malnutrition // jaundice // steroids // wound contamination

43
Q

mx abdominal wound dehiscence

A

cover wound with saline gauze, IV broad spec abx, analgesia, IV fluids

44
Q

absolute contraindications laparoscopic surgery

A

haeodynamically unstable // raised ICP // acute intestinal obstruction, bowel loops >4cm // coagulopathy

45
Q

complications lap surgery

A

anaesthetic // bradycardia // surgical emphysema // GI tract or vessel injury

46
Q

common hormone imbalance after brain surgery

A

SIADH –> hypoNa

47
Q

common complication + mx following GI surgery

A

ileus –> NG tube

48
Q

what is a anastaotpic leak

A

sepsis –> mediastinitis or peritonitis

FINALS - GI (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions