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UW CK > Surgery > Flashcards

Surgery Flashcards

1
Q

first sign of hypovolaemia

A

tachycardoa

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2
Q

respiratory quotient:

A

6CO2/ O2= 1
NB when assessing weaning patients from mechanical ventilation
normal RQ= 0.8

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3
Q

RQ greater than 1

A

XS carbs

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4
Q

RA= 0.7

A

fat

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5
Q

nasal furunculosis can lead to

A

cavernous sinus thrombosis

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6
Q

ERCP can be used for

A

acute/ ascending cholangitis

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7
Q

Hx RTA, and CXR= patchy alveolar infiltrate within 24hrs

A

pulmonary contusion

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8
Q

Sx workup haemoptysis

A
  1. intubate

2. bronchoscopy– if adequately haemo stable

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9
Q

complication of thoracic abdominal aorta repair

A

spinal cord infarction

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10
Q
  • spinal shock= paralysis and UMN (days-weeks)

NORMAL proprioception and vibration

A

spinal cord infarction

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11
Q

burn patients need

A

escharotomy

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12
Q

torus palatinus

A

fleshy immobile mass in midline of hard palate;

young person

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13
Q

mgmt torus palatinus=

A

NO SURGERY, unless symptomatic

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14
Q

risk factors for post-op cholestasis

A

hypotension

XS blood loss and replacement

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15
Q

dumping syndrome post-gastrectomy, treatment resistant cases–>

A

OCTREOTIDE

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16
Q

complication acutely post op AAA

A

BOWEL ISCHAEMIA

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17
Q

complication of cardiac catheterization

A

retroperitoneal haematoma-CT

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18
Q

PC:

  • fever
  • chest pain
  • increase WBC
  • mediastinal widening on CXR
A

ACUTE MEDIASTINITIS

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19
Q

PC:

  • respiratory distress
  • shift–> opposite side
  • elevated of hemi diaphragm
  • CXR with NG tube in pulmonary cavity
A

diaphragmatic hernia

20
Q

flail chest

A

3+ rib fractures in 2 places
BULGE out on inspiration
RETRACTS on expiration

21
Q

PC:

  • early paraesthesia
  • increase pain with passive stretch
  • soft tissue swelling
  • exclusively tender
A

compartment syndrome; can happen post- femoral artery embolectomy

22
Q

laparotomy hemodynamically stable–

A

FAST

diagnostic peritoneal lavage—blood–> Sx

23
Q

amputated finger

A
  • saline gauze

- bag on bed of ice

24
Q

other causes of gastric outlet obstruction

A
  • crohns
  • gastric cancer
  • STRICTURES
  • ACID INGESTION
25
Q

retropharyngeal abscess, can spread and cause

A

mediastinitis

26
Q

imaging for blunt abdo trauma

A

abdo CT

27
Q

splenic injury and haemostable

A

US–> CT

28
Q

diaphragmatic rupture with RTA, next best step

A

CT abdomen and chest

29
Q

pneumomediastinum
subutaneous emphysema
= persistent pneumothorax

A

tracheo bronchial rupture

30
Q

pulsatile mass in groin

A

femoral artery aneurysm

31
Q

anterior mediastinal mass

A 
4T's
Thymoma
Teratoma/GCTs
Thyroid neoplasm
Terrible lymphoma
32
Q

2 causes of blunt aortic injury

A

RTA

Fall from height

33
Q

DDx widening mediastinum

A
  1. AD
  2. Acute mediastinhtis
  3. Boerhaave
  4. Blunt aortic injury
34
Q

PC: wide mediastinum + hypotensive/ bp difference

A

AD

35
Q

PC: wide mediastinum + fever + increase WCC

A

acute medastinitis

36
Q

PC: wide mediastinum + pleural effusion with amylase + subcutaneous emphysema

A

boerhaave

37
Q

PC: wide mediastinum + L sided haemothorax

A

blunt aortic injury

38
Q

Ddx umbilical hernia

A
  • blacks– resolve spontaneously
  • preme
  • beckwidth
  • hypothyroidism
39
Q

penile fracture, most vulnerable when…

A

man is hard, and woman on top;

PC: snapping sound

40
Q

what next, penile fracture

A

retrograde urethrogram and surgical exploration of penis

41
Q

pain when sleeping on side

A

trochanteric bursitis

42
Q

when can a syringomyelia present

A

POST-trauma— 3-4% post-spinal cord injuries

  • whiplash
  • YEARS-MONTHS later
43
Q

constant/ gnawing epigastric pain

A

pancreatic cancer

44
Q

KEHR sign a/w

A

peritonitis

45
Q

isolated duodenal haematoma

A

NG tube and TPN

UW CK (15 decks)

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