Surgical Disorders Flashcards
management of anterior ureter injury
surgical repair
management of posterior ureter injury
suprapubic drainage and delayed surgical repair
topical burn ointment
silver sulfadiazine
burn ointment for thick eschar, cartilage when deeper penetration is needed
mafenide acetate
spider bite: necrotic center with surrounding halo of erythema
brown recluse spider
treatment for brown recluse spider bite
local excision and possible skin grafting
spider bite: nausea, vomiting, generalized muscle cramps
black widow spider
treatment for black widow spider bite
calcium gluconate and muscle relaxants
child with uneven gluteal folds
developmental dysplasia of the hips
treatment for developmental dysplasia of the hips
pavlik harness x 6 months
treatment for slipped capital femoral epiphysis
surgical pinning
diagnosis of septic joint
aspiration of joint
diagnosis of osteomyelitis
bone scan
x-ray will not show pathology for a couple weeks
treatment for genu varum (bow-legs)
no treatment needed before age 3
after age 3 consider surgery
treatment for genu valgus (knock-knees)
normal between ages 4-8
osteochondrosis of the tibial tubercle
osgood-schlatter disease
feet turned inwards, plantar flexion of the ankle, inversion of the foot, adduction of the forefoot, internal rotation of the tibia
club foot (talipes equinovarus)
fracture possible when child falls on outstretched hand with hyperextended elbow
supracondylar fracture of the humerus
bone tumor in diaphyses of long bones
ewing sarcoma
bone tumor in lower femur or upper tibia with periosteal inflammation
osteosarcoma
where do soft tissue sarcomas metastasize
lungs
NOT lymph nodes
imaging method of choice for multiple myeloma
xray
NOT bone scan
imaging method anterior shoulder dislocation
AP/lateral x-rays
imaging method posterior shoulder dislocation
axillary/scapular lateral x-rays
AP/lateral will often miss it
treatment of colles fracture
closed reduction and long arm cast
diaphyseal fracture of ulna, anterior dislocation of radial head
monteggia’s fracture
open reduction for broken arm
closed reduction for dislocated arm
fracture of distal third radius, dorsal dislocation of radio-ulnar joint
galeazzi’s facture
open reduction for radius
closed reduction for ulna
tenderness over anatomic snuff box, x-ray shows nothing
undisplaced scaphoid fracture
treatment: thumb spica cast
x-ray will show fracture in 3 weeks
tenderness over anatomic snuff box, x-ray shows displaced fracture
displaced scaphoid fracture
treatment: open reduction and internal fixation
one left is shorter than the other and externally rotated
hip fracture
older, overweight patients with disabling, sharp heel pain when their foot strikes the ground, pain worse in mornings
plantar fasciitis
x-ray may show bony spur but this is not the cause of the problem, treat symptomatically
tender space between 3rd and 4th toes caused by pointed shoes and high heels compressing toes together
morton’s neuroma inflammation of the common digital nerve at the third interspace
treatment: analgesics and more sensible shoes
