Surgery Flashcards

1
Q

how to estimate weight?

A

2 x (Age + 4)

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2
Q

how to estimate blood volume?

A

80ml/kg

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3
Q

estimate urine output?

A

1ml/kg/hour

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4
Q

systolic BP?

A

80 + (2 x AGE)

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5
Q

WHO pain ladder?

A

paracetamol
ibuprofen
weak opiod (not codeine <12)
strong opiod

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6
Q

resuscitation fluid management?

A

20ml/kg bolus of 0.9%NaCl

crystalloid not colloid

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7
Q

red flags? (5)

A
feed refusals
bile vomits
colour
tone
temperature
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8
Q

Murphy’s triad in appendicitis?

A

pain
vomiting
fever

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9
Q

appendicitis complications?

A

abscess
mass
peritonitis

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10
Q

where does pneumonia usually present?

A

right LL

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11
Q

pyloric stenosis?

A
4-16/52
males more than females
FH
non bilious vomiting - projectile
weight loss
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12
Q

pyloric stenosis - cap gas?

A

alkalosis
hypochloraemia
hypokalaemia

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13
Q

investigation and treatment for pyloric stenosis?

A

test feed
IV fluid
US
periumbilical pyloromyotomy

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14
Q

3 day old baby with bile vomiting?

A

malrotation and volvulus

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15
Q

malrotation symptom?

A

bile vomiting - liquid green

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16
Q

malrotation investigation?

A

upper GI contrast study

17
Q

malrotation management?

A

laparotomy

18
Q

3 day history of viral illness then intermittent colic and ‘dying spells’?

A

Intussusception

19
Q

Intussusception main symptoms? investigation? age?

A

red current jelly stool
US
6-12m

20
Q

Intussusception management?

A

pneumostatic reduction

laparotomy