Surgery

Question 1

What is the X-ray showing and what is the next step in management?

Answer 1

Osteolytic lesions associated with characteristic soap bubble appearance. This is specific for Giant cell tumor of the bone. The suspected diagnosis should be confirmed with a biopsy.

Question 2

When can a life saving procedure be preformed?

Answer 2

-in an emergent case where consent is not possible.
- in the case of a complication of the scheduled procedure and the complication is in relation to intial procedure.

Question 3

What pulmonary exam findings would be found in pleural effusion?

Answer 3

decreased sounds, dull to percussion, fremitus decreased,

Question 4

What pulmonary exam findings would be found in consolidation?

Answer 4

breath sounds increased (rales, percussion dull, fremitus increased

Question 5

What pulmonary exam findings would be found in pneumothorax?

Answer 5

decreased breath sounds, percussion is hyperressonant, decreased fremitus

Question 6

What pulmonary exam findings would be found in atelectasis?

Answer 6

Breath sounds decreased, dull to percussion, fremitus is decreased

Question 7

What pulmonary exam findings would be found in COPD?

Answer 7

breath sounds decreased, hyperresonant percussion, decreased fremitus

Question 8

What is the difference between ischemic colitis and acute mesenteric ischemia?

Answer 8

Although they are both due to improper perfusion one is due to emboli while the other is due to hypovolemia.