Surgical Talk Sieves and Structures Flashcards
1
Q
What is included in the Aetiological Sieve?
A
Congenital
Acquired: of which it can be TIN CAN MED DIP
Traumatic Inflammatory (Infectious, Neoplastic (Benign or Malignant, Primary or Secondary?) Circulatory Autoimmune Nutritional Metabolic Endocrine Drugs Degenerative Iatrogenic Psychosomatic
2
Q
What is included in the anatomical sieve?
A
Anatomical location
Tubes: Extraluminal, Intramural, Luminal
Tissue type: Skin, adipose tissue, connective tissue, lymphatics, blood vessels, nerves, muscles, viscera
3
Q
What does management include?
A
History Examination Investigations Diagnosis Treatment \+POSSET
Physiotherapy Occupational therapy Specialist therapy Social care Education Terminal care
4
Q
What should you ask when taking a history from a patient with a lump?
A
When and how did you first notice it? Has it changed over time? What symptoms is it causing you? Are there any more? Have you ever had this before? What do you think it is?
5
Q
How can you split treatment?
A
Conservative
Medical
Surgical
6
Q
How can you split investigations?
A
Simple urine and faecal tests
Blood tests
Finger prick vs blood bottles
Routine vs Special
Radiology
Special tests e.g. gastroscopy, V/Q scan
7
Q
What is the purpose of the history?
A
Find out the nature of the problem Identify red flags Identify risk factors --> Diagnosis Risk stratification
8
Q
When answering questions or thinking of diagnoses, how should you order them?
A
Most likely first
Important rare/to rule-out and others
