Surgery Flashcards
Primary biliary cholangitis features
Middle aged female, fatigue, pruritus, raised IgM
Otitis externa management
Topical abx +/- steroids
How to monitor unfractioned heparin
APTT
Managing abdominal aorta aneurysm US
3 - 4.4 cm Small aneurysm Rescan every 12 months
4.5 - 5.4 cm Medium aneurysm Rescan every 3 months
≥ 5.5cm Large aneurysm Refer within 2 weeks to vascular surgery for probable intervention
Oesophageal cancer
Barretts? Achalasia?
Barrett’s= adenocarcinoma
Achalasia= SCC
Surgery for tumour in caecal/ascending/proximal transverse
R hemicolectomy
R hemicolectomy
Surgery for tumour in caecal/ascending/proximal transverse
Surgery for distal transverse/descending colon tumour
L hemi
L hemi
Surgery for distal transverse/descending colon tumour
Surgery for upper and lower rectum tumour
Anterior resection
Surgery for anal verge tumour
Excision of rectum
Anterior resection
Surgery for sigmoid colon, upper and low rectum
Fibroadenoma (breast) management
<3cm: reassure and dc
>3cm: surgical excision
Osteosclerosis
Conductive hearing loss, tinnitus, +ve family hx
Acute angle closure glaucoma management
Eye drops (parasympathimetic: pilocarpine, beta blocker: timolol, alpha 2 agonist: apraclonidine)
IV acetazolamide
Definitive: laser peripheral iridotomyM