Surgery Flashcards
What is the first line investigation in raised PSA?
MRI has now replaced biopsy as first line ix
Management of fibroadenoma?
If less 3cm- nothing
If over 3cm- surgical excision
How does mammary duct ectasia present?
Green nipple discharge, common around menopause. Tender lump around areola
How are inguinal and femoral hernias different in their location?
Femoral (infero-lateral to pubic tubercle
Inguinal- super-medial to pubic tubercle
What is the classic history of a Bakers Cyst?
More common in hx of osteoarthritis. Become more tense on extension of the knee
Hydrocele vs Inguinal Hernia- how do the examination findings differ?
Hydrocele you can palpate above the swelling. Inguinal hernia you cannot palpate above the swelling.
What is the presentation for a posterior hip dislocation?
Internally rotated, shortened and adducted
What are some examples of extra capsular hip fractures?
Trochenteric or sub trochenteric
What is the management for extratrochenteric hip fractures?
DHS
IM screw
What is the investigation of choice for suspected renal colic?
CT KUB without contrast
What age group is the URGENT referral to breast services?
Aged 30 and above with any breast changes = 2ww.
What is the management of asymptomatic inguinal hernia in GP?
refer to the surgeons for consideration of surgery
What is the first line imaging for suspected spinal stenosis?
MRI
What oesphageal carcinoma is associated with GORD?
Adenocarcinoma of oesophagus is a/w GORD
What is the breast disease fibroadenosis?
Lumpy breasts. common in middle age and changes associated with menstrual cycle.
