Surgery Deck 1 Flashcards
Does getting Breast implants increase risk of breast cancer?
No. Only increased risk local complications
Best imaging study to evaluate for supraphrinic abscess
US (CT was not an answer choice so consider this as well)
Sounds like gallbladder stuff. US is negative. What is the next step
HIDA scan
What criteria must be met before organ donation
Brain Death: abcences of brainstem reflexes, apnea (without confounding factor like intoxication)
or
Cardiac Death:5 min of mechanical and electrical asystole
Meniscus injury features (4)
Locking sensation
inability to fully extend
joint line tenderness
+ McMurray’s
Cruciate ligament injuries features 4
acute “pop”
large effusion
+ drawer tests
+lachmans for anterior
What type of stress cause instability with MCL tear
lateral movement (valgus laxity)
What type of stress causes instability with LCL tear
medial instability- varus laxity
Child with midline neck mass that moves superior after swallowing. Most likely dx and how to DX
Thyrogloassal duct cyst
Ultrasound or CT
When do thyroglossal duct cysts usually present
After URI in child
Management of Thyroglossal duct cyst
confrim presence of normal thyroid tissue and then surgical resection. Needs to be removed so it doesn’t get infected, if infected higher rates of reoccurrence
Do thyroglossal duct cysts become malignant
No
DX and TX for cruciate ligament injury
RICE
Sometimes Surg
Patients with anal abscess are at high risk for developing what complication
Fistula 50-90% do and these require surgical repair
4 common features of compartment syndrome and 4 rare
Common:
Pain out of proportion
Pain on passive strech
Rapidly increasing swelling
Paresthesia
Uncommon:
Decreased sensation
Motor weakness -takes hours
Paralysis
absent distal pulses
