surgery incorrects Flashcards

1
Q

when do surgical site infections usually occur?

A

4-10 days after surgery

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2
Q

fourniers gangrene symptoms?

A

necrotizing fasciitis of peritineum, including scrotum

pain that goes to perinuem

edema, shock, crepitus, blisters

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3
Q

fourniers gangrene risk factors?

A

catheter

diabetes

alcohol

rectal infection

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4
Q

elderly person has ileus due to opioids, what to do?

A

mix opiod and nonopioid meds

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5
Q

subclavian steal syndrome?

A

when exercising, blood flows retrograde

causes syncope, confusion, vertigo

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6
Q

what is needle thoracentesis performed for?

A

tension pneumothorax

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7
Q

what is pericardial centesis performed for?

A

pericardial tamponade

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8
Q

fever 5 days after surgery, what should be suspected?

A

deep wound injury

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9
Q

fever 48 hours after surgery, what should be suspected?

A

pneumonia, uti, phlebitis

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10
Q

dumping syndrome?

A

GI and vasomotor symptoms 20-30 minutes after eating

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11
Q

what is barium swallow used for?

A

looking for strictures and areas of obstruction

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12
Q

few days after surgery, patient cant tolerate intake or has few intestinal movements , what is it? how is ti resolveled?

A

postoperative ileus

self resolving

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13
Q

flushing, wheezing, taachycardia, liver lesions, diarrhae?

A

carcinoid syndrome

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14
Q

treatment of carcinoid syndrome?

A

resection of tumors

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15
Q

how to prevent DVT in surgery patients

A

SUBCUTANEOUS heparin or LMWH

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16
Q

how do you deliver prophylaxis heparin?

A

IV

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17
Q

when is IVC filter used?

A

DVT with contraindication to anticoagulation

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18
Q

when to do FNA of thyroid?

A

1cm or larger nodule found on ultrasound, eu or hypothyroid

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19
Q

whats the difference between mastitis and a breast abscess?

A

breast abscess will present with a palpable mass

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20
Q

paget disease of the breast looks like?

A

scaly lesion that goes from the nipple to the areola

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21
Q

treatment for breast abscess?

A

TMPSMX( MRSA)

or cephalexen

22
Q

confirm thoracic outlet syndrome?

A

arteriography

23
Q

what to do about lobular carcinoma in situ?

A

yearly mammogram, twice yearly breast self exam

24
Q

lumpectomy with sentinel node biopsy is used for?

A

invasive ductal carcinoma

invasive lobular carcinoma

25
Q

superficial thrombopletis?

A

cordlike beady area of erythema

26
Q

who gets superficial thrombopletis?

A

people with iv catheter

varicose veins

pregnant, postpartum women

27
Q

treatment of superficial thrombopletis?

A

nsaids, heat, stockings

28
Q

indirect inguinal hernia is

A

medial to inguinal ligament, lateral to vessels

29
Q

direct inguinal hernia is

A

medial to inguinal ligament, medial to vessels

30
Q

what to do with symptomatic hiatal hernia?

A

treat the symptoms of gerd

31
Q

when to do upper endo with ulcer disease?

A

one or more alarm symptom

32
Q

when to treat hiatial hernia with surgery?

A

if it is paraesophageal, gastric fundus is visible

33
Q

acute abdominal pain with n/v, air under diaphragm?

A

intestinal perforation

34
Q

first test to do for pancreatitis?

A

serum lipase

35
Q

if lipase less than 3x normal for pancreatitis then?

A

imaging via CT

36
Q

prolactinoma symptoms?

A

amenhorrea, galactorrhea, bitemporal vision loss, loss of libido

37
Q

dirty wounds are

A

wounds that were previously traumatic, had a prexisting infection

38
Q

clean contaminated wounds are

A

wounds that have planned entry without unusual contamination

39
Q

contaminated wounds are

A

wounds that are freshly opened or surgical wounds with bile spillage

40
Q

imaging for boerhaaves?

A

esophagram

41
Q

sign of DIC?

A

bleeding from IVs

increased PTT and PT

thrombocytopenia

elevated d dimer

42
Q

treatment for DIC?

A

FFP

43
Q

painless swelling, bag of worms, does not transilluminate

A

varicocele

44
Q

median nerve compression at wrist, what will happem?

A

thumb muscles affected, but no numbness over thenar

45
Q

blind loop syndrome?

A

abnormal intestinal motility

anemia, blosting, steattherea

associated syndrome such scleroderma,ibd, arthirits

46
Q

test for blind loop syndrome?

A

carb breath test

47
Q

how to prevent atelectasis after surgery?

A

incentive spirometry

48
Q

fever and collapsed lung 48 hours after surgery?

A

atelectasis

49
Q

what causes atelectasis after surgery?

A

poor tidal volumes due to anesthesia or something

50
Q

treatment for acute abdomen with peritonitis?

A

immediate surgery

51
Q

diagbostic test for diveruculitis?

A

ct scan