surgery devirgilio- pediatric, trauma, complications Flashcards
gastroschisis associations in utero
young moms who smoke with elevated AFP
bilious emesis, landmark?
distal to ampulla of vater
evaluation of sizeable melanoma concern on face?
punch bx to dermis to calculate breslow score
fevers in first 24 hours after surgery? Worry or not?
cytokines!
But, if dishwater discharge= GAS and clostridium within hours
mechanism behind warf induced skin necrosis
prot C deficiency –>hyerpcoagulable, thrombosis at cutaneous vessels
pressor of choice in septic shock?
norepi
GIVE FLUIDS!!
order of tx in ITP
steroids –> IVIG –> splenectomy
response to HIT?
stop heparin and start direct thrombin inhibitor (argatriban)
first sign of cardiac tamponade?
impaired diastolic filling
managment of blunt carotid injuries
anticoagulation (heparin)
GSW to abd with stable vitals. Ex lap, CT or FAST?
CT
FAST for blunt trauma
acute limb ischemia followed by reperfusion is riskfor…..
compartment syndrome
(interstitial edema)–> ischemia reperfusion leads to vascular permeability
peaked T waves on EKG after saturday night palsy
compartment syndrome–> muscle necrosis–> CPK –> hyperkalemia
give Ca first!!!!
order of ischemic tissue damage
muscle nerve fat skin bone
management of tension pneumo
needle decompression –> tube thoracostomy
no imaging, no OR.