Surgery recall anki Flashcards
meckel’s diverticulum (rule of 2s)
- in 2% of population
- 2 % asymptomatic
- approx 2 feet from ileocecal valve
carcinoid triad
- flushing
- diarrhea
- RHF
Reynold’s Pentad (suppurative cholangitis)
- fever
- jaundice
- RUQ pain
- MS changes
- Shock/Sepsis
charcot’s triad +4 and 5
Valentino’s sign (perforated peptic ulcer)
RLQ pain
(succus/pus drains into RLQ)
Dance’s sign (ileocecal intussusception)
empty RLQ in children
Hamman’s sign “hamman’s crunch”
crunching sound on auscultation of heart
emphysematous mediastinum
ex. boerhaave’s, pneumomediastinum
fothergill’s sign
to differentiate intraabdominal mass from mass in wall, if still felt when wall is under tension then mass is in wall
Boas’ sign
right subscapular pain (cholelithiasis)
Saint’s triad
- cholelithiasis
- hiatal hernia
- diverticular disease
afferent loop syndrome
after Billroth II gastrojejunostomy
obstruction of afferent loop
Kehr’s sign
severe L shoulder pain in patient’s w/ splenic rupture (referred from diaphragm)
whipple’s triad
evidence for insulinoma
- hypoglycemia
- CNS and vasomotor symptoms (syncope, diaphoresis)
- symptoms relieve w/ glucose
compartment syndrome
edema causes hypertension in a single compartment –> muscle necrosis of extremity
Bergman’s triad (fat emboli syndrome)
- MS changes (emboli —> stroke)
- petechiae, esp. at axilla/thorax (like splinter hemorrhages)
- dyspnea (like a PE)
cushing’s syndrome
excessive cortisol production
Blumer’s shelf
rectovesical “shelf” on rectal examination
sign of metastatic disease in rectouterine pouch
dumping syndrome
often follows a gastric drainage procedure (pyloroplasty, gastrojejunostomy) hyperosmolar chime dumped into small bowel –> autonomic instability, pain, diarrhea
“chyme dumped into intestine, makes you DUMP”
cullen’s sign
periumbilical ecchymoses –> retroperitoneal hemorrhage tracks into anterior fascial planes
Fitz-hugh curtis syndrome
perihepatic gonorrhea infection
rx: 3rd gen ceph (ceftriaxone) and doxycycline (like G/C) - gonorrhea/chlamydia
Beck’s triad (cardiac tamponade)
- JVD
- decreased/muffled heart sounds
- decreased blood pressure
gardner’s syndrome
GI polyps + “SOD”
(sebaceous cysts, osteomas, desmoid tumors)
these patient’s polyps have a high malignant potential
