Surgery Final Oral Flashcards
1
Q
etiology pancreatitis
A
gallstones ethanol trauma hypercalcemia hyperlipidemia drugs tumor, anatomic abnormalities infection
2
Q
importance of ranson criteria
A
determines prognosis and severity (>3 to ICU, >7 dead)
3
Q
ad admission ranson
A
age >55 WBC>16k glucose>200 LDH>350 SGOT>250
4
Q
at 48 hrs
A
Hct>10 pt decrease BUN>5 increase Ca<8 PO2<60 base excess>4 estimated fluid sequestration >6kmL
5
Q
complications pancreatitis
A
pseudocyst pancreatic ascites hemorrhage necrosis/infection/abscess respiratory failure/ARDS/MSOF splenic vein thrombosis GI tract obstruction
6
Q
initial management pancratitis
A
IV hydration
NPO/NGT
analgesia
foley
7
Q
physical findings bowel obstruction
A
abdominal distention tenderness to palpation with possible guarding high pitched bowel sounds rule out hernia empty rectal vault
8
Q
etiologies bowel obstrcution
A
adhesions from prior surgery
hernia, inguinal, abdominal wall
carcinomas
colonic volvulus
9
Q
associated lab abnormalities bowel obstruction
A
elevated WBC hemoconcentration hyponatremia hypokalemia elevated BUN, creatinine, and urine specific gravity
10
Q
radiographic studies bowel obstruction
A
flat and upright abdomen
chest x-ray
CT scan/contrast studies
11
Q
appropriate fluid for resuscitation bowel obstruction
A
normal saline
lactated ringers
12
Q
complications of bowel obstruction
A
strangulation with intestinal necrosis
perforation
