surgery incorrects Flashcards
when do surgical site infections usually occur?
4-10 days after surgery
fourniers gangrene symptoms?
necrotizing fasciitis of peritineum, including scrotum
pain that goes to perinuem
edema, shock, crepitus, blisters
fourniers gangrene risk factors?
catheter
diabetes
alcohol
rectal infection
elderly person has ileus due to opioids, what to do?
mix opiod and nonopioid meds
subclavian steal syndrome?
when exercising, blood flows retrograde
causes syncope, confusion, vertigo
what is needle thoracentesis performed for?
tension pneumothorax
what is pericardial centesis performed for?
pericardial tamponade
fever 5 days after surgery, what should be suspected?
deep wound injury
fever 48 hours after surgery, what should be suspected?
pneumonia, uti, phlebitis
dumping syndrome?
GI and vasomotor symptoms 20-30 minutes after eating
what is barium swallow used for?
looking for strictures and areas of obstruction
few days after surgery, patient cant tolerate intake or has few intestinal movements , what is it? how is ti resolveled?
postoperative ileus
self resolving
flushing, wheezing, taachycardia, liver lesions, diarrhae?
carcinoid syndrome
treatment of carcinoid syndrome?
resection of tumors
how to prevent DVT in surgery patients
SUBCUTANEOUS heparin or LMWH
how do you deliver prophylaxis heparin?
IV
when is IVC filter used?
DVT with contraindication to anticoagulation
when to do FNA of thyroid?
1cm or larger nodule found on ultrasound, eu or hypothyroid
whats the difference between mastitis and a breast abscess?
breast abscess will present with a palpable mass
paget disease of the breast looks like?
scaly lesion that goes from the nipple to the areola