Surgery Flashcards

1
Q

Achlorhydria

A

absence of hydrocholric acid in the stomach

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2
Q

Amaurosis fugax

A

transient visual loss in one eye

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3
Q

Bovie

A

Electrocautery

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4
Q

Celiotomy

A

surgical incision into the peritoneal cavity

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5
Q

Curettage

A

scraping of the internal surface of an organ or body cavity with a spoon shaped instrument

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6
Q

Gastropexy

A

surgical attachment of the stomach to the abdominal wall

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7
Q

Inspissated

A

thicken, hard

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8
Q

Leiomyoma

A

Benign tumor of smooth muscle

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9
Q

Ballance’s sign

A

constant dullness to percussion in LUQ and resonance to percussion in the right flank seen with splenic rupture

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10
Q

Battle’s sign

A

eccyhmosis over the mastoid process in the patients with basilar skull fractures

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11
Q

Beck’s triad

A

cardiac tamponade: JVD, decreased or muffled heart sounds, decreased blood pressure

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12
Q

Bergmans’ triad

A

fat emboli syndrome: mental status changes, petechiae, dyspnea

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13
Q

Blumer’s shelf

A

metastatic disease to rectouterine or rectovesical pouch creating a shelf that is palpable on rectle exam

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14
Q

Boas’ sign

A

right subscapular pain resulting from cholelithiasis

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15
Q

Borchardt’s triad

A

gastric volvulus: emesis followed by retching, epigastric distention, failure to pass an NGT

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16
Q

Carcinoid triad

A

carcinoid syndrome: flushing, diarrhea, right-sided HF

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17
Q

Charcot’s triad

A

cholangitis: fever, jaundice, RUQ pain

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18
Q

Cushing’s triad

A

increase intracranial pressure: hypertension, bradycardia, irregular respirations

19
Q

Dance’s sign

A

empty RLQ in children with ileocecal intussusception

20
Q

Homan’s sign

A

calf pain on forced dorsiflecion of the foor in pts with DVT

21
Q

Kehr’s sign

A

severe left shoulder pain in pts with splenic rupture

22
Q

Kelly’s sign

A

visible peristalsis of the ureter in response to squeezing or retraction- to identify ureter in surgery

23
Q

Meckel’s diverticulum rule of 2s

A

2% of the pop have a Meckel’s diverticulum, 2% of those are symptomatic, and they occur within 2 feet of the ileocecal valve

24
Q

Pheochromocytoma symptoms triad

A

PHE: palpitations, headache, episodic diaphoresis

25
Raccoon eyes
bilateral black eyes as a result of basilar skull fracture
26
Reynold's pentad
Fever, jaundice, RUQ pain, mental status changes, shock: charcots + mental status change, shock
27
Saint's triad
cholelithiasis, hiatel hernia, diverticular disease
28
Virchow's triad
thrombosis: stasis, abnormal endothelium, hypercoagulability
29
Valentino's sign
RLQ pain from a perforated peptic ulcer due to pus draining into the RLQ
30
Whipple's triad
insulinoma: hypoglycemia, CNS and vasomotor symptoms, relief of symptoms with admin of glucose
31
Model for end stage liver disease
INR, Serum bilirubin and creatinine; average score for liver transplant pt is 26-33
32
Wernicke's encephalopathy triad
Confusion, opthalmoplegia, ataxia
33
Curling's ulcer
Peptic ulcer from severe burns
34
Dieulafoy ulcer
Gastric bleeding from AVM
35
Aphthous ulcer
Ulcer from crohn's
36
Marginal ulcer
Ulcer at GI anastomoses
37
Child's Pugh score
Ascites, bilirubin, encephalopathy, albumin, pt time
38
Ranson criteria
Age >55, WBC >16k, Glucose>200, AST>250, LDH>350; at 48 hrs Ca10%, PaO24, BUN>5 increase, sequestration >5L
39
What does Ranson criteria predict?
Mortality in acute pancreatitis pts, a score greater than 7 predicts 100% mortality
40
Causes of cyanotic heart disease
5 T's: tetrology of fallot, truncus arteriosis, tricuspid atresia, transposition of great vessels, totally anomalous pulmonary venous return
41
Most common benign heart lesion
Myxoma
42
Most common malignant heart lesion in children
Rhamdomyosarcoma
43
Odontoid fracture
Type 1, type 2, type 3; tip of dens, base of dens, and through body of vertebrae