Surgery 2 Cases Flashcards
What is the difference between an abscess and a TB fungal infection on CXR
Air fluid levels
Things that present as cavitations
TB
histoplasmosis
Coccidiomicosis
Empyema has what sign on CXR
D - shape
Exudate content
Protein greater 3
SG
EXUDATIVE effusions can lead to what
Thick fibrous cavitations
Treatment for chylothorax
Diet change with
Medium chains fatty acids
What would further localize and characterize a lung mass when you suspect cancer.
CT with Bronchoscopy
Non small cell carcinoma
What is a paraneoplastic syndrome
A cancerous cause for the release of some type of hormone inappropriately.
Example : CA2+ ; ADH ; carcinoid
What should you do what after visualizing a new mass
Check previous cxr’s
Management of a new infiltrate with a productive cough
Potentially ABX repeat CXR obtain a CT of chest and bronchoscopy
TXM for malignant effusion
THORACOSTOMY
With pleurodesis
Law Laplace
Asx pulsatile mass what should you check
PAD - ABI
Carotid pulses
What percentage of occlusion for carotid venectomy
More than 50%
Infrarenal aorta aneurysm
Risk of rupture
Blue toe micro vascular
AV Fistula = communication between aorta and adjacent vein
(Fistulize with the IVC) = increased venous return = high output heart failure
GI bleed
Infrarenal AAA is suggestive for anuerysm where?
Femoral and popliteal arteries
What would you use to assess AAA after U/S
MRA
Men or women most likely to rupture
[Women]
AAA complications
Painful discoloration of the great toe
Hematochezia
How does colonic ischemia present
Post AAA surgery with painful sxs
Multiple or solitary is malignant
Multiple = malignant
Malignant thyroid cancers are what as far as hormone producing
They do not produce hormone!
Know the reasons for thyriodectomy and radio scan
