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Lottie's DPD 1 > Surgical Cases > Flashcards

Surgical Cases Flashcards

1
Q

List screening Qs for someone with GIT problems?

A 
General = FLAWS, N&V, abdo pain, PR bleed 
Specific = pain, fever, jaundice, dark urine, pale stool
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2
Q

List screening Qs for someone with urological problems?

A 
Infective = frequency, urgency, nocturia
Obstructive = hesitancy, intermittent, poor stream, incomplete voiding
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3
Q

List screening Qs for someone with vascular problems?

A

Non modifiable = age, sex, PMH or FH of CVA/MI

Modifiable = HTN, DM, high cholesterol, smoking

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4
Q

What is a Kocher scar from?

A

Gall bladder surgery

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5
Q

What is Murphys sign?

A

Palpate R subcostal on inspiration. Pain = cholecystitis

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6
Q

What is Rovsing’s sign?

A

Pressing LIF causes pain in RIF = appendicitis

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7
Q

What is Psoas sign?

A

Extension of hip when lying flat = retrocaecal appendicitis

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8
Q

What is obturator sign?

A

Flex hip and knee to 90 and rotate around . Pain = appendicitis.

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9
Q

What is Grey Turner sign?

A

Bruising around umbilicus

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10
Q

What is Cullen’s sign?

A

Bruising around flank

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11
Q

What is the approach you take to analysing a CXR?

A 
ABCDE 
Adequacy - 6 ribs anteriorly 
Breathing - lobes / zones 
Cardiac 
Diaphragm 
Everything else inc bones
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12
Q

List immediate management for all surgical patients?

A

TED stocking
LMWH
NMB pending review

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13
Q

List 4 types of management for any medical problem

A

Conservative
Medical
Interventional
Surgical

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14
Q

Female, fat, forty, fertile, fair.
Intermittent pain triggered by fatty food.
Dx?

A

Biliary colic

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15
Q

What is ascending cholangitis?

A

Stone blocking tube

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16
Q

What is the management of sepsis?

A

SEPSIS 6
Give O2, fluids, Abx
Take urine output, blood cultures and serum lactase levels

17
Q

How do you calculate pancreatitis severity?

A 
PANCREAS 
PaO2 < 8 
Age > 55
Neutrophils > 15 
Calcium <2 
Raised urea > 16 
Elevated enzymes eg LDH >600
Albumin <32 
Sugar >10
18
Q

What is atelectasis?

A

Common post op presentation of difficulty breathing with a temperature.

19
Q

List 7 causes of post op pyrexia

A 
7 Cs 
Chest
Catheter 
Central line 
Cannula 
Cut 
Collection 
Calves (DVT)
20
Q

What is a post op pyrexia <24hrs?

A

Systemic response to trauma

Pre existing infection

21
Q

What is a post op pyrexia 24-72hrs?

A

Pulmonary atelectasis

Chest infection

22
Q

What is a post op pyrexia 3 - 10 days?

A 
UTI
DVT 
PE 
Wound 
Collection 
Anastomotic leak

Lottie's DPD 1 (27 decks)

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