Surgery Flashcards
Basal cell CA
Moh’s surgery
SSC in situ
Bowen’s disease
In situ SCC specific to the penis
Erythroplasia of Queyrat
Lesions arising from burn areas, may lead to early metastasis
Marjolin’s ulcer
Variant of thrombophlebitia that involves the supeficial veins of the anterior chest wall and breast
Mondor’s disase
Large, pale, vacuolated cells in the rete pegs of epithelium
Paget’s disease
Most common type of invasive breast CA
Invasive ductal CA
Central stellate configuration with chalky white or yellow streaks
Invasive ductal CA
Dense lymphoreticular infiltrate of lymphocytes and plasma cells
Medullary Ca
Glistening and gelatinous
Mucinous ca
Papillae with fibrovascular stalks
Papillary ca
Haphazard aray of small tubular elements
Tubular ca
Small cells arranged in single file orientation
Indian file configuration- invasive lobular carcinoma
intracytoplasmic mucin that may displace the nucleus
Signet ring configuration- invasive lobular CA
Abrikossof tumor
Granular cell myoblastoma
Associated with an impacted tooth
Ameloblastoma/ adamantinoma
Chest pain, retching with inability to vomit, inability to pass ngt
Borchardt’s triad- diaphragmatic hernia
Management for achalasia
Heller’s myotony+ partial fundoplication
Meckel’s may present in what hernia
Littre’s
Syndromes/disease related with adenomatous polyps
Gardner’s syndrome, Turcot’s syndrome, FAP
Congenital hypetrophy of pigmented retinal epithelium, desmoid tumors, epidermoid cysts, mandibular osteomas, adenomatous polyps
Gardner’s syndrome
Glioblastomas, adenomatous polyps
Turcot’s syndrome
Syndromes associated with hamartomatous polyps
Cronkite-canada, cowden’s, peutz-jegher
Alopecia, cutaneous pigmentations, atrophy of fingernail/toenails
Cronkite-canada syndrome
Hamartromas of all 3 embryonal cell layers, facial trichelemmomas, breast CA, thyroid disease
Cowden’s syndrome
Polyposis of small intestines, colon, and rectum; melanin spots on the buccal mucosa, lips, and anus
Peutz-jegher
Also called Eck’s fistula
Portacaval shunt
Also called Warren’s shunt
Distal splenorenal shunt
Congestive hepatopathy characterized by obstruction to hepatic venous outflow
Budd Chiari Syndrome
Most common symptom and indication for resection in hemanangioma
Pain
Most common benign solid mass in the liver
Hemangioma
Most common malignant tumor
Metastatisis
Extrahepatic cholangiocarcinoma, carcinoma of the hepatic duct bifurcation
Klatskin tumor
Procedure in biliary atresia, portoenterostomy, roux en y hepaticojejunostomy
Kasai procedure
Most common cause of biloma
Leaking cystic duct stump
Grahams Cole test most specific test for cholecystits
Oral cholecystography
Type 5 choledochal cyst- cyst in intrahepatic duct only
Caroli’s disease
Managment for chronic pancreatitis
Puestow-gillesby procedure/ rou en y pancreaticojejunostomy
Pancreaticoduodenostomy
Whipple’s procedure
Rashkind procedure
Balloon atrial septostomy
Atrial septostomy
Blalock hanlon
What is the rule of 2s
2% of population, within 2 feet of ileocecal valve, 2 inches in length, 2 types of heterotrophic mucosa, before 2 yrs old- Meckel’s
Preferred surgical procedure for ascending aortic dissextion
Stanford Type A- DeBakey type I and II
Hartey dunhill procedure
Subtotal thyroidectomy
Mgmt for toxic adenoma (plummer’s disease)
Unilateral lobectomy+ isthmusectony
Mgmt for toxic multinodular goiter
Subtotal/ near total thyroidectomy
Recurrent acute thyroiditis, we suspect
Pyriform sinus fistula
Thyroid is being replaced by fibrous tissue
Reidel’s thyroiditis
Mgnt for reidel thryoiditis
Wedge excision of the thyroid isthmus, steroids and thyroxine
Single most important test in evaluation of thyroid nodules
FNAB
Most common inflammatory disorder of the thyroid gland
Hashimoto’s lymphocytic thyroiditd
FNAN cannot diagnose what
Follicular and hurthle cell CA
1st test requested in evaluation of thyroid nodules
Thyroid function test; eu/hypo- FNAB; hyper- RAI
Mgmt for thyroid cysts
Aspiration up to 3x
Mgmgt for colloid adenoma
<3: observe with/without l thyroxine; 3 or more: lobectomy with isthmusextony
Papillary thyroid meta involves
Lungs
Most important prognostic factor for papillary thyroid CA
Age (45- maximum of stage II)
Mgmt for papillary CA
Lobectomy+ isthmusectomy
Carcinoma common in iodine deficient areas
Follicular
mgmt for follicular neoplasm
Lobectomy+isthnusectomy
Diagnosis of follicular and hurthle cell CA
Relies on presence of capsular and vascular invasion
Mgmt for hurthle cell
Adenoma: lobectomy+isthmusectomy;
Carcinoma: TT:NTT+ routine central neck node dissection
Arises from the parafollicular cells located at the superolateral lobes of the thyroid
Medillary thyroid Ca
Calcitonin and CEA producin neoplasm
Medullary thyroid
Ultraviolet rays responsible for acute and chronic infections
UVB
Gangrene of the external genitalia
Fournier’s gangrene
Causative organisms for necrotizing soft tissue infections
Polymicrobial
Infection following tooth extraction, odontogenic infection
Actinomyces
Sudden multiple, eruption associated with an internal malignancy
Lesser trelat sign
Nevi with swimming trunk distribution
Giant hairy nevi
Type of nevi that is premalignant
Congeintal
Aka acococordon
Skin tag
Most common type of skin cancer
Basal
Mgmt for basal cell cA
Excision with 0.5-1 cm margins
Mgmt for basal CA <2cm
Curettage, electrodessication, laser
Characterisjtcnm of squamous crll CA that correlates with malignant behavoir
Thicknrss
Premalignant lesion of malignant melanoma
Dysplastic nevi
Most common type of melanoma
Superficial spreading
Most common cutaneous carcinoma in head and neck
Squamous
Melanoma without a radial growth phase and directly invades the dermis
Nodular
GBS is associated with wc bacteria
C jejuni
Associated with malignancy an toxic megacolon- crohn’s or UC
Ulcerative collitid
UC flare ups are triggered by
C difficile infection
Most closely associated with increaed rate of colorectal CA
Dietary factors
