Surgery halo halo 2 Flashcards
Most common sites of involvement of GI TB
Ileocecal
Jejunoileum
Most common elbow dislocation
Posterior
Most common primary Appendiceal tumor
Carcinoid
Most common thyroid malignancy in IODINE SUFFICIENT areas
Thyroid Papillary Carcinoma
Olive shaped mass in abdomen in an infant with projectile non bilous vomiting
confirmatory test
Hypertrophic pyloric stenosis
Ultrasound
Single most impt criterion in diagnosing carcinoma in patient with adrenal mass
Size
Most common posterior Mediastinum mass
Neurogenic Tumor
Pentalogy of Cantrell
Omphalocele Diaphragmatic hernia Bifid sternum/ lower thoracic rib abN Basent pericardium VSD
Ulcer Classification Modified Johnson (1-2)
Type 1 and 2 both near INCISURA
but 1 due to ACID hyposecretino, 2 with assoc active or quiescent duod ulcer, acid HYPERsecretion
Type 3- PREPYLORIC are, acid hypersecretion
Type 4- Near GE junction- Acid hyposecretion
Type 5- NSAID induced
Findings in Peritoneal Lavage that warrants Exploratory Lap
RBC WBC Alk Phos Bilirubin Amylase
all > : 100,000 500 2 IU/L 0.01 19
Estimated blood loss
per rib fracture
Tibial fracture
Femur fracture
Pelvic Fracture
100-200 cc per rib
300-500 cc
800-1000cc
>1000cc
Clarks level of Melanoma
I-V
I- to basement membrane II- to papillary dermis III- To papillary or reticular dermis junction IV- Reticular dermis V- To subcutaneous fat
Mgt for Choledochal cyst
Type I/ Fusiform dilatation of CBD
Type II/ Diverticulum of CBD
Type III/ Choledococele of intraduodenal CBD
Type IV/ Caroli’s disease, cystic dilatation of inrahepatic duct
I- Cyst excision and roux en y choledochojejunostomy
II- Excision
III- Sphinteroplasty or choledochoduodenostomy
IV- Liver transplantation
Number of lymph node required for Axillary dissection of breast cancer
10 or more in level I and II
Mgt Appendiceal Carcinoid
Clue: size
location
<1cm - Appendectomy
1-2 cm- look at the location ( mid to distal)- appendectomy; if at the BASE- RIGHT HEMICOLECTOMY
What sign is positive if the abdominal mass is permissive in Lateral Direction but restricts movement in Superoinferior direction ?
Dx?
Tilaux sign
Meseteric cyst
Pre operative CT findings that determine
UNRESECTABILITY of pancreatic Head mass?
Encasement of SMA, Celiac Axis, Occlusion of SMV/ portal vein
Hard signs Peripheral Arterial Injury
Rapidly expanding hematoma Absent pulses Bruit or palpable thrill Active Bleeding Distal ischemia
Soft signs of Peripheral Arterial Injury
Associated nerve injury
Unexplained hypotension
History of previous bleeding in the scene of the injury
Hematoma
Fluid replacement for
Stomach and Colon
Small bowel and pancreas
NSS
LR
Suture removal
Face
Neck
Scalp
Extremitis
3-5 days
5-7 days
7-12 days
10-14 days
Tumor marker for Colon, Cervix, Breast Lung ovary Urinary Tract
CEA
Tumor marker for
GCT
HCC
AFP
Tumor Marker for
Breast CA
CA 15-3
