Surgical RECALL Rapid Review Only Flashcards
Elderly woman, SBO, and air in biliary tract
Gallstone ileus
Elderly woman with pain down inner aspect of thigh
Obturator hernia (Howship–Romberg sign)
Abdominal pain, hypotension, and abdominal pulsatile mass
Ruptured abdominal aortic aneurysm (AAA)
Abdominal pain “out of proportion” to abdominal exam
Mesenteric ischemia
Arm pain and syncope with arm movement
Subclavian steal syndrome
Increasing creatinine on ACE inhibitor
Renal artery stenosis
Child with MIDLINE neck mass
Thyroglossal duct cyst
Child with LATERAL neck mass
Branchial cleft cyst
Crush injury and dark urine
Myoglobinuria
Emesis, chest pain radiating to the back and mediastinal air
Boerhaave’s
Lower GI bleed + technetium pertechnetate scan
Meckel’s diverticulum
Flushing, diarrhea, and right-sided heart failure
Carcinoid
Pneumaturia and LLQ pain
Colovesicular fistula
Desmoid tumor, osteoma, and colon cancer
Gardner’s syndrome
Epigastric pain radiating to back and flank ecchymosis
Hemorrhagic pancreatitis
Pancreatitis and palpable epigastric mass
Pancreatic pseudocyst
Liver abscess with “anchovy paste”
Amebic abscess
RUQ pain, travel, and exposure to sheep
Hydatid cyst
RUQ pain, travel, and exposure to sheep
RUQ pain, travel, and exposure to sheep
45-year-old woman with RUQ pain for 12 hours, fever, and leukocytosis
Acute cholecystitis
Elderly man with large nontender palpable gallbladder
Pancreatic cancer (Courvoisier’s sign)
Female taking birth control pills with liver mass
Female taking birth control pills with liver mass
Liver tumor with “central scar”
Focal nodular hyperplasia
Pancreatic mass, gallstones, diabetes, and diarrhea
Somatostatinoma
RUQ bruit and CHF in young adult
Liver hemangioma
Excruciating pain with bowel movement
Excruciating pain with bowel movement
Abdominal pain, diarrhea, and anal fistulae
Crohn’s disease
EKG with “peaked” T waves
Hyperkalemia
Buccal mucosa with pigmentation
Peutz–Jeghers syndrome
LLQ pain, fever, and change in bowel habits
Diverticulitis
Elevated urine 5-HIAA
Carcinoid
Institutionalized, abdominal pain, vomiting, and distention, with proximal colonic dilation
Sigmoid volvulus
Infant with projectile vomiting
Infant with projectile vomiting
Newborn with failure to pass meconium in first 24 hours
Newborn with failure to pass meconium in first 24 hours
Infant with bilious vomiting
Malrotation
Newborn with abdominal defect and umbilical cord on sac
Omphalocele
Teenager with knee pain and “onion skinning” on x-ray
Ewing’s sarcoma
Pulmonary capillary wedge pressure <18, CXR with bilateral pulmonary infiltrates, and PaO2:FiO2 ratio <300
Acute respiratory distress syndrome (ARDS)
Increased peak airway pressure, low urine output, and urinary bladder >25 mm Hg
Abdominal compartment syndrome
Newborn with inability to “pass an NGT”
Esophageal atresia
Traumatic blinding in one eye followed by blindness in the contralateral eye 2 weeks later
Sympathetic ophthalmia
Miotic pupil, ptosis, and anhydrosis
Horner’s syndrome
Traumatic head injury, conscious in ER followed by unconsciousness
Epidural hematoma (“lucid interval”)
“Worst headache of my life”
“Worst headache of my life”
Hematuria, flank pain, and abdominal mass (palpable)
Renal cell carcinoma
60-year-old white man with painless hematuria
60-year-old white man with painless hematuria
RUQ pain, jaundice, and fever
Cholangitis
Epigastric pain radiating to back, with nausea and vomiting
Epigastric pain radiating to back, with nausea and vomiting
Chest pain radiating to back and described as a “tearing” pain
Chest pain radiating to back and described as a “tearing” pain
40-year-old man with tachycardia/hypertension and confusion on postoperative day #2
Alcohol withdrawal
