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
Q

Raccoon eyes

A

bilateral black eyes as a result of basilar skull fracture

26
Q

Reynold’s pentad

A

Fever, jaundice, RUQ pain, mental status changes, shock: charcots + mental status change, shock

27
Q

Saint’s triad

A

cholelithiasis, hiatel hernia, diverticular disease

28
Q

Virchow’s triad

A

thrombosis: stasis, abnormal endothelium, hypercoagulability

29
Q

Valentino’s sign

A

RLQ pain from a perforated peptic ulcer due to pus draining into the RLQ

30
Q

Whipple’s triad

A

insulinoma: hypoglycemia, CNS and vasomotor symptoms, relief of symptoms with admin of glucose

31
Q

Model for end stage liver disease

A

INR, Serum bilirubin and creatinine; average score for liver transplant pt is 26-33

32
Q

Wernicke’s encephalopathy triad

A

Confusion, opthalmoplegia, ataxia

33
Q

Curling’s ulcer

A

Peptic ulcer from severe burns

34
Q

Dieulafoy ulcer

A

Gastric bleeding from AVM

35
Q

Aphthous ulcer

A

Ulcer from crohn’s

36
Q

Marginal ulcer

A

Ulcer at GI anastomoses

37
Q

Child’s Pugh score

A

Ascites, bilirubin, encephalopathy, albumin, pt time

38
Q

Ranson criteria

A

Age >55, WBC >16k, Glucose>200, AST>250, LDH>350; at 48 hrs Ca10%, PaO24, BUN>5 increase, sequestration >5L

39
Q

What does Ranson criteria predict?

A

Mortality in acute pancreatitis pts, a score greater than 7 predicts 100% mortality

40
Q

Causes of cyanotic heart disease

A

5 T’s: tetrology of fallot, truncus arteriosis, tricuspid atresia, transposition of great vessels, totally anomalous pulmonary venous return

41
Q

Most common benign heart lesion

A

Myxoma

42
Q

Most common malignant heart lesion in children

A

Rhamdomyosarcoma

43
Q

Odontoid fracture

A

Type 1, type 2, type 3; tip of dens, base of dens, and through body of vertebrae