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UL Final Year OSCE's & Short Cases > Surgery: Stomas, Surgical Scars > Flashcards

Surgery: Stomas, Surgical Scars Flashcards

1
Q

Stomas, Surgical Scars

What are the key inspection findings of Stomas on examination?

A
  • Site
  • Contents of bag
  • Appearance Scars
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2
Q

Stomas, Surgical Scars

What are the key palpation findings of Stomas on examination?

A
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3
Q

Stomas, Surgical Scars

What is needed to complete a Stoma examination?

A
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4
Q

Stomas, Surgical Scars

What is the definition of Stomas?

A

Conduit = a channel for conducting fluid

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5
Q

Stomas, Surgical Scars

What are the key questions in a Stoma history?

A
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6
Q

Stomas, Surgical Scars

What are the indications for a Stoma?

A
  • Exteriorisation
  • Diversion
  • Decompression
  • Feeding Lavage
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7
Q

Stomas, Surgical Scars

What are the differences between Ileostomy and Colostomy?

Including:

  1. Location
  2. Spouted or Flush?
  3. Contents
  4. Permenant indications
  5. Temporary indications
A
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8
Q

Stomas, Surgical Scars

What are the common stoma discussion points?

A
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9
Q

Stomas, Surgical Scars

What is the appearance of Ileostomy?

A
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10
Q

Stomas, Surgical Scars

What are the permenent and temporary indications for an End Ileostomy?

A
  • Permanent: Panproctocolectomy (no anus)
  • Temporary: Total colectomy
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11
Q

Stomas, Surgical Scars

What surgeries surgical causes End Ileostomy?

A
  • Proctocolectomy
  • Total colectomy c¯ later IPAA
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12
Q

Stomas, Surgical Scars

What are the indications for End Ileostomy?

A
  • UC FAP
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13
Q

Stomas, Surgical Scars

What are the temporary and permenant indications of an End Ileostomy?

A
  • Temporary stoma to defunction distal bowel
  • May be supported by bridge or rod
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14
Q

Stomas, Surgical Scars

What are the surgical causes of End Ileostomy?

A
  • Anterior resection Bowel rest
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15
Q

Stomas, Surgical Scars

War are the indications for End Ileostomy?

A
  • Colon Ca
  • Crohn’s
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16
Q

Stomas, Surgical Scars

What are the permenant and temporary indications for an End Colostomy?

A
  • Permanent: AP resection (no anus)
  • Temporary: Hartmann’s
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17
Q

Stomas, Surgical Scars

What are the surgical causes of End Colostomy?

A
  • AP resection Hartmann’s
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18
Q

Stomas, Surgical Scars

What are the indications for End Colostomy?

A
  • Colon Ca Diverticulits
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19
Q

Stomas, Surgical Scars

What are the features of Loop Colostomy?

A
  • RUQ:
    • Defunctioning transverse colostomy to cover a distal anastomosis: rarely performed
  • LIF:
    • Apex of sigmoid exteriorised w/o a resection for inoperable Ca rectum which is likely to obstruct.
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20
Q

Stomas, Surgical Scars

What are the surgical causes of Loop Colostomy?

A
  • Anterior resection
  • Decompression
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21
Q

Stomas, Surgical Scars

What are the indications for Loop Colostomy?

A
  • Colon Ca
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22
Q

Stomas, Surgical Scars

What is needed for patient preparation with a Stoma?

A
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23
Q

Stomas, Surgical Scars

How should a patient with a stoma sit?

A
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24
Q

Stomas, Surgical Scars

What are the early Stoma complications?

A
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25
Q

Stomas, Surgical Scars

What are the delayed Stoma complications?

A
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26
Q

Stomas, Surgical Scars

What is needed for patient recovery with a Stoma?

A
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27
Q

Stomas, Surgical Scars

What is the classification of Stomas?

A
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28
Q

Stomas, Surgical Scars

What is a Urostomy?

A
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29
Q

Stomas, Surgical Scars

What is an Ideal Conduit?

A
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30
Q

Stomas, Surgical Scars

What is an Indiana Pouch?

A
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31
Q

Stomas, Surgical Scars

What is important in a surgical scar examination?

A
32
Q

Stomas, Surgical Scars

What is it important to look for in a surgical scar examination?

A
33
Q

Stomas, Surgical Scars

What layers does a Midline Laparotomy go through?

A
34
Q

Stomas, Surgical Scars

What is the appearance of a Midline Laparotomy?

A
35
Q

Stomas, Surgical Scars

What is the use of a Midline Laparotomy?

A
36
Q

Stomas, Surgical Scars

What are the features of a Midline Laparotomy?

A
37
Q

Stomas, Surgical Scars

What is the appearance of a Right Paramedian scar?

A
38
Q

Stomas, Surgical Scars

What is the use of a Right Paramedian scar?

A
39
Q

Stomas, Surgical Scars

What are the features of a Right Paramedian scar?

A
40
Q

Stomas, Surgical Scars

What is the appearance of a Kocher’s (Subcostal) scar?

A
41
Q

Stomas, Surgical Scars

What is the use of a Kocher’s (Subcostal) scar?

A
42
Q

Stomas, Surgical Scars

What is the appearance of a Rooftop scar?

A
43
Q

Stomas, Surgical Scars

What is the use of a Rooftop scar?

A
44
Q

Stomas, Surgical Scars

What is the appearance of a Pfannenstiel scar?

A
45
Q

Stomas, Surgical Scars

What is the use of a Pfannenstiel scar?

A
46
Q

Stomas, Surgical Scars

What are the features of a McBurkey’s and Lanz scar?

What layers of they go through?

A
47
Q

Stomas, Surgical Scars

What is the appearance of a McBurkey’s and Lanz scar?

A
48
Q

Stomas, Surgical Scars

What is the use of a McBurkey’s and Lanz scar?

A
  • Appendicectomy
49
Q

Stomas, Surgical Scars

What are the features of McBurkey’s and Lanz scar?

A
50
Q

Stomas, Surgical Scars

What is the appearance of a Thoracoabdominal scar?

A
51
Q

Stomas, Surgical Scars

What is the use of a Thoracoabdominal scar?

A
  • Oesophagogastrectomy
52
Q

Stomas, Surgical Scars

What is the appearance of a Transverse Muscle Splitting scar?

A
53
Q

Stomas, Surgical Scars

What is the use of a Transverse Muscle Splitting scar?

A
  • Right Hemicolectomy
54
Q

Stomas, Surgical Scars

What are the features of a Transverse Muscle Splitting scar?

A
55
Q

Stomas, Surgical Scars

What is the appearance of Inguinal Hernia Incision scars?

A
56
Q

Stomas, Surgical Scars

What is the use of Inguinal Hernia Incision scars?

A
  • Open Inguinal Hernia
  • Repair Orchidectomy
57
Q

Stomas, Surgical Scars

What are the features of Inguinal Hernia Incision scars?

A
58
Q

Stomas, Surgical Scars

What is the appearance of McEvedy-Modified scar?

A
59
Q

Stomas, Surgical Scars

What is the use of a McEvedy-Modified scar?

A
  • Emergency Femoral Hernia
60
Q

Stomas, Surgical Scars

What are the features of McEvedy-Modified scar?

A
61
Q

Stomas, Surgical Scars

What is the appearance of a Loin scar?

A
62
Q

Stomas, Surgical Scars

What is the use of a Loin scar?

A
  • Nephrectomy
63
Q

Stomas, Surgical Scars

What is the appearance of a Vascular access scar?

A
64
Q

Stomas, Surgical Scars

What is the use of a Vascular access scar?

A
65
Q

Stomas, Surgical Scars

What are the key contents bag inspection findings for Stomas?

A
66
Q

Stomas, Surgical Scars

What are the key appearance inspection findings for Stomas?

A
67
Q

Stomas, Surgical Scars

What are the key scar inspection findings for Stomas?

A
68
Q

Stomas, Surgical Scars

What are the Exteriorisation indications for a Stoma?

A
69
Q

Stomas, Surgical Scars

What are the Diversion indications for a Stoma?

A
70
Q

Stomas, Surgical Scars

What are the Decompression indications for a Stoma?

A
71
Q

Stomas, Surgical Scars

What are the Feeding indications for a Stoma?

A
72
Q

Stomas, Surgical Scars

What are the Lavage indications for a Stoma?

A
73
Q

Stomas, Surgical Scars

What is the appearance of a Colostomy?

A
74
Q

Stomas, Surgical Scars

What are the features (not the use) of Rooftop scars?

A
75
Q

Stomas, Surgical Scars

Name the scars

A

UL Final Year OSCE's & Short Cases (107 decks)

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