Surgical Pathognomonic vignettes Flashcards
What is the correct diagnosis? Elderly woman with small bowel obstruction and air in the biliary tract
Gallstone ileus
Postmenopausal woman with new onset of vaginal bleeding
Endometrial carcinoma
Abdominal pain “out of proportion to exam”
Mesenteric ischemia
“Hot potato” voice
Epiglottitis or peritonsillar abscess
Chest pain “tearing” to the back
Aortic dissection
Chest pain described as “an elephant sitting on my chest”
Myocardial infarction
Newborn with bilious vomiting
Malrotation
Nonbilious vomiting in an infant , 2 months old
Pyloric stenosis
“Currant jelly” stool in young child
Intussusception
Failure to pass meconium within first 24 hours of life
Hirschsprung’s disease
Syncope with the use of the le arm
Subclavian steal syndrome
Coiled NGT in the left pleural cavitya after blunt trauma
Diaphragm rupture
Inability to pass an NGT in a newborn
Esophageal atresia
A “gasless” abdomen in a newborn
Esophageal atresia
Intraperitoneal free air on abdominal x-ray and abdominal pain
Perforated viscus
Blunt trauma patient with GCS , 8 and otorrhea
Basilar fracture
Abdominal pain, flank mass, hematuria
Renal cell carcinoma
Acute varicocele and hematuria
Left renal tumor
Bone tumor with “onion skinning” histology
Ewing’s sarcoma
Necrotizing migratory erythema
Glucagonoma
Newborn with pneumatosis intestinalis
NEC (necrotizing enterocolitis)
Jejunal ulcers
Zollinger-Ellison syndrome
Thyroid mass and psammoma bodies on histology
Papillary thyroid carcinoma
Neck abscess with sulfur granules
Actinomyces infection
Palpable parathyroid gland and hypercalcemia
Parathyroid carcinoma
Tender pulsatile abdominal mass
Abdominal aortic aneurysm
Trauma patient with increasing JVD with inspiration
Cardiac tamponade (Kussmaul’s sign)
Trauma patient with hypertension and bradycardia
Cushing’s response to increased ICP
Trauma patient with hypotension and bradycardia
Spinal cord injury