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J's ClinMed Deck > SurgFinal > Flashcards

SurgFinal Flashcards

1
Q

transverse abdominus to thompsons ligament / and internal oblique aponeurosis conjoined to ingunal ligament

A

Bassini

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2
Q

repair of the posterior wall of the ingunal canal

A

ii. Shouldice

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3
Q

connects the edge of the transvers abdominus aponeurosis to coppers ligament.

A

Mcvay

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4
Q

non tension procedure so there is low recurrence

it uses a mesh so there is no tension

A

lichtenstein

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5
Q
  • small ducts that drain bile from the liver into the gall bladder.
  • can be the source of bile leaking causing biliary peritonitis
A

Ducts of Luschcka

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6
Q

Ducts of Luschcka

A
  • small ducts that drain bile from the liver into the gall bladder
  • can be the source of bile leaking causing biliary peritonitis
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7
Q

signs of splenic rupture

A

orthostatic symptom

Kehr’s sign

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8
Q

hesselbachs triangle

A

Epigastric vessels
Inguinal ligament
Lateral border of the rectus sheath

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9
Q

what sex is femoral henna more common in?

A

females

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10
Q

most common form of inguinal hernia?

A

indirect

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11
Q

Kehr’s sign

A

the occurrence of acute pain in the tip of the shoulder due to the presence of blood or other irritants in the peritoneal cavity when a person is lying down and the legs are elevated. Kehr’s sign in the left shoulder is considered a classical symptom of a ruptured spleen

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12
Q

calculation for corrected calcium?

A

Normal albumin is 4
normal calcium is 8.5 - 10.2

If the albumin is low, at a level of 2, you can correct it with Ca++. if the calcium is 8 -
Correct w/ a 1: .8 ratio.

increase the level of albumin to 4 so you correct the calcium by 1.6 (2 x .8)

the corrected calcium is 9.6.

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13
Q

Max doses of lidocaine and Marcaine

A

a. lidocaine only 5ml
b. lidocaine w/ epi 7 ml
c. Bicarb as a buffer
d. Marcaine - last longer. max dose =2.5

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14
Q

a. BAT (Blunt Abdominal Trauma Algorithm

A

If stable and have a + FAST exam - do a CT
if stable and have a - FAST exam - observe and consider a CT
if Unstable with a + Fast - move to laparoscopy to determine the extent of bleeds
if unstable with a - fast - consider other sources of blood loss, non hemorrhagic shock - consider laparoscopy and additional FAST Exam.

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15
Q

most common type of gallstone?

A

mixed

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16
Q

c1 fracture

A

jeffersons fracture

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17
Q

c2 fracture

A

hangmans fracture

18
Q

c7 fracture

A

clay shovelers fracture

19
Q

nexus criteria

A
  • There is no posterior midline cervical tenderness
  • There is no evidence of intoxication
  • The patient is alert and oriented to person, place, time, and event
  • There is no focal neurological deficit (see focal neurological signs)
  • There are no painful distracting injuries (e.g., long bone fracture)
20
Q

polysorb

A

3 weeks of wound supprot 2 months to absorb

21
Q

Maxon

A

longest wound support - 6 weeks, 6 months to absorb

22
Q

evisceration vs dehiscence

A

Dehiscence - midline inscision wound separation

Evisceration - bowels start coming out of wound

23
Q

blood at the meatus

A

retrograde urethrogram

24
Q

chest tube insertion area?

A

5-6 intercostal space mid axillary line

25
Q

IV general anesthesia?

A

propofol

26
Q

Gas general anesthesia?

A

isoflorine

27
Q

ASA classifications

A
  1. Healthy person.
  2. Mild systemic disease.
  3. Severe systemic disease.
  4. Severe systemic disease that is a constant threat to life.
  5. A moribund person who is not expected to survive without the operation.
  6. A declared brain-dead person whose organs are being removed for donor purposes.
28
Q

mallampati classification

A 
class 1 best
class 4 worst
29
Q

resuscitation fluids for burn

A

Use (4mls / kg) LR x % of burn surface area
50% in the first 8 hours
25% in the second 8 hours
25% in the third 8 hours

30
Q

maintenance fluids post op

A

4-2-1
4 mLs/kg for first 10 kg
2 mLs/kg for second 10 kg
1 mLs/kg for third 10 kg

31
Q

Desired U/O

A
  1. 5 mL/kg/hr for adults
  2. 0 mL/kg/hr for children
  3. 5 ml/kg/hr for electrical burn patients
32
Q

Transducer frequencies

A
  1. 5 htz for FAST (used in blunt abdominal trauma)
  2. 0 for Vascular
  3. 5 for thyroid visualization
33
Q

Branching vein tear?

A

subdural hemorrhage

34
Q

father of modern hernia repair

A

eduardo bassini

35
Q

3 types of Odontoid fracture

A

Type 1: evulsion , tip
Type 2: thru base, most unstable
Type 3: thru body

36
Q

what class of hemorrhage are they confused and decreased BP?

A

class III 1500-2000mL

37
Q

Tx for malignant hyperthermia

A

dantrolene

38
Q

What type of drain is a closed drain connected to a suction device? a. Blake and/or JP b. Davol c. Penrose

A

Blake and/or JP

39
Q

What type of drain uses a sump with an airflow system to keep the lumen of the drain open when fluid isn’t passing through it? a. Blake/JP b. Davol c. Penrose

A

b. Davol

40
Q

What type of drain is open passively? a. Blake/JP b. Davol c. Penrose

A

c. Penrose

J's ClinMed Deck (12 decks)

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