Surgery UWorld Flashcards
CT findings ischemic colitis
thickened bowel
Colonoscopy ischemic colitis
cyanotic mucosa/ hemorrhagic ulcers
Pt with ruptured AAA too unstable to have a CT can confirm AAA with?
bedside ultrasound. Urgent surgery required
Whistle noise following rhinoplastie
nasal septum perforation from septal hematoma
Dumping syndrome
- postgastrectomy complication
- pyloric sphincter rapid emptying leading to nausea, diarrhea, diaphoresis, AMS
- caused by fluid shifts
pulmonary contusion
- complication of blunt thoracic trauma
- ↑ RR, ↑ HR, hypoxic
- cxr: patchy alveolar infiltrate from hemorrhage
- may –> ARDS
Pneumothorax
- blunt force trauma
- CP, ↓ breath sounds, sub-q emphysema
- cxr: area without lung markings
hemothorax on cxr
plural effusion
flail chest caused by
> 3 ribs broken–> detachment
chest wall moves paradoxically
cardiac contusion s/s
usually asymptomatic
can cause ↓ BP, ↑ HR, heart failure if severe
absent bowel sounds
dilated gas filled loops of bowel with no transition point
paralytic ileus- common after surgery but sometimes even trauma
BUN: Cr ratio for pre-renal failure
> 20: 1
extraparitoneal bladder injury
pelvic fx
localized pain
gross hematuria
intraperitoneal bladder rupture
damage to dome
s/s of chemical peritonitis
pelvic fx often present
children with traumatic diaphragmatic injury
delayed presentation (months/years) herniation of bowel into lung fields (usually left side)