Surgical Recall Flashcards
Beck’s triad
JVD
Muffed heart sounds
Hypotension
Blumer’s shelf
Metastatic dz to pouch of Douglas or rectovesicular pouch that creates a palpable “shelf” on rectal exam
Carcinoid triad (FDR)
Flushing
Diarrhea
R heart failure
Charcot’s triad
Fever
Jaundice
RUQ pain
Chvostek’s sign
Twitching facial nerves after tapping on pts with hypocalcemia
Courvosier’s law
Enlarged nontender gallbladder seen with obstruction of CBD, usually d/t pancreatic cancer
Cullen’s sign
Periumbilical blue d/t retroperitoneal hemorrhage through facial planes –> acute hemorrhagic pancreatitis
Cushing’s triad
hypertension
Bradycardia
Irregular respirations
Goodsall’s rule
Anal fisutales course in a straight path anteriorly and curved path posteriorly
Howship-Romberg sign
Pain along inner aspect of thigh d/t obturator hernia and nerve compression
Meckel’s diverticulum rule of 2s
2% have it, 2% are symptomatic, occur within 2 feet of ileocecal valve
Pheochrromocytoma sx (PHE)
Palpitations
HA
Episodic diaphoresis
Reynold’s pentad
Fever Jaundice RUQ pain AMS shock/sepsis
Virchow’s node
metastatic tumor to left supraclavicular node often d/t gastric cancer
Virchow’s triad - risk for thrombosis
Stasis
Abnormal endothelium
Hypercoaguablity
Trousseau’s sign
Carpal spasm after occlusion of blood with BP cuff in pts with hypocalcemia
Valentino’ sign
RLQ pain d/t perf peptic ulcer
Whipple’s triad
Hypoglycemia
CNS sx
Relief of sx with glucose admin
Budd-Chiari syndrome
thrombosis of hepatic veins
Dumping syndrome
Large amount of hyperosmolar chyme into SB, usually after surgery –> autonomic inability, abdominal pain and diarrhea
HITT syndrome
Heparin induced thrombocytopenia thrombosis syndrome – heparin induced platelet antibodies cause platelets to thrombosed vessels
Mirizzi’s syndrome
extrinsic obstruction of the common hepatic bile duct from a gallstone in the GB or cystic duct
Ogilvie’s syndrome
massive nonobstructive colonic dilation
Refeeding syndrome
Hypokalemia, hypomagnesmia, and hypophosphatemia after refeeding a starved pt
