surgery devirgilio- pediatric, trauma, complications Flashcards

1
Q

gastroschisis associations in utero

A

young moms who smoke with elevated AFP

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2
Q

bilious emesis, landmark?

A

distal to ampulla of vater

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3
Q

evaluation of sizeable melanoma concern on face?

A

punch bx to dermis to calculate breslow score

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4
Q

fevers in first 24 hours after surgery? Worry or not?

A

cytokines!

But, if dishwater discharge= GAS and clostridium within hours

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5
Q

mechanism behind warf induced skin necrosis

A

prot C deficiency –>hyerpcoagulable, thrombosis at cutaneous vessels

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6
Q

pressor of choice in septic shock?

A

norepi

GIVE FLUIDS!!

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7
Q

order of tx in ITP

A

steroids –> IVIG –> splenectomy

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8
Q

response to HIT?

A

stop heparin and start direct thrombin inhibitor (argatriban)

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9
Q

first sign of cardiac tamponade?

A

impaired diastolic filling

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10
Q

managment of blunt carotid injuries

A

anticoagulation (heparin)

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11
Q

GSW to abd with stable vitals. Ex lap, CT or FAST?

A

CT

FAST for blunt trauma

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12
Q

acute limb ischemia followed by reperfusion is riskfor…..

A

compartment syndrome

(interstitial edema)–> ischemia reperfusion leads to vascular permeability

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13
Q

peaked T waves on EKG after saturday night palsy

A

compartment syndrome–> muscle necrosis–> CPK –> hyperkalemia

give Ca first!!!!

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14
Q

order of ischemic tissue damage

A
muscle
nerve
fat
skin
bone
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15
Q

management of tension pneumo

A

needle decompression –> tube thoracostomy

no imaging, no OR.

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16
Q

underlying condition assoc with flail chest that should be managed?

A

pulmonary contusion –> secure the airway

17
Q

numbness in the first web space?

A

compartment syndrome involving deep peroneal nerve

18
Q

electrical burns are assoicated with compartment syndomre

A

do a fasciotomy!!