FlashCards for Students

Lange Q&A Surgery

Def high-output renal failure BUN continues to rise with urine output >1000-1500 Mild-to-moderate renal insufficiencySevere renal failure Oliguric renal failureHow long can the kidneys tolerate ischemia? 30-90 minutesDo vasopressors help with shock? No, they aggravate the deleterious effects of shockHyperkalemia manifests with ____ or ____ signs GI or cardiovascularWhat are the GI signs and symptoms of hyperkalemia Nausea, vomiting, intestinal colic, and diarrheaT/F abdominal distension as a result of paralytic ileus is due to hypokalemia? True.What are the CV signs and symptoms of hyperkalemia ECG is useful to monitor potassiu...

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FlashCards for Students

USMLE Step 2 CK Surgery (Kaplan) I

Retroperitoneal air in the abdomen. DX? Duodenal injury (2nd portion)Evaluation of retroperitoneal air. DX WU? CT scan with contrast or UGI w gastograffin (if neg. do barium study)Describe how retroperitoneal air might occur? blunt trauma > duodenal compression between external solid object & spine (ie. steering wheel) > perforation of duodenumM/C injured portion of duodenum during trauma? Why? 2nd portion of duodenum b/c it is the most immobileDuodenal injury is a common oversite b/c of its retroperitoneal locationIndications that a duodendal injury has occured ? retroperitoneal air and/or obliteration of the psoas marginD...

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Oral Surgery Exam 3

Obstructive Sleep Apnea Complications -Hypoxemia/Hypercarbia -Polycythemia -Hypertension -Depression -Impotence -CVA -Arrhythmia -Sudden deathObstructive Apnea -Most common type of apnea -Airflow stops >10s due to closure of airway by obstruction -Chest wall inspiratory effort is normal – >2% drop in O2 sats -Terminates with arousalObstructive Hypopnea -Continuous but diminished airflow (2% drop in O2 sats -Arousal from sleepPolysomnography -Sleep staging -Respiratory effort and events -Consequences of respiratory events -Does NOT involve capnometryObjectives of Sleep Apnea Treatment -Decrease collapsibility of the pharyngeal airway -Decre...

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FlashCards for Students

Surgery EOR

what is the most common type of liver cancer? hepatocellular carcinomatx for hemochromatosis (excessive iron loading) deferoxamine chelationHBsAg acute/chronic infectionHBeAg VERY INFECTIOUS acute/chronic infection infectivity wild type viral infectionanti-HBc marker of exposure persists indefinitelyanti-HBe low infectivityAnti-HBs marker of immunity VACCINATIONwhat can cause false + for hemoccult? grapefruit, red meat, turnips radishes, horseradish, cauliflower VITAMIN C, NSAIDS, ASA“gold standard” to diagnose chronic pancreatitis ERCPstudy of choice for gallbladder studies U/Sstudy of choice for ...

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Chapter 25 Oral and Maxillofacial Surgery (book)

maxillofacial oral and ________ surgery is the branch of dentistry that focuses on the diagnosis and treatment of diseases, injuries, and malformationssurgical scalpels are surgical knives used to incise or excise soft tissue precisely with the least amount of traumaretractors used to deflected tissue from the surgical site so that the view is unobstructedtissue retractors are supplied in forceps (hinged) styletissue forceps cotton-plierscheek retractors and lip retractor are used to hold the patients cheeks away from the operating sitetongue retractors are placed between the border of the tongue and the lingual surfaces of the teeth...

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laparoscopic gallbladder surgery

Cholecystectomy complications complications that can occur include bleeding, infection, leakage of bile in the abdomen, pneumonia, blood clots, or heart problems. Surgical injury to an adjacent structures such as the common bile duct, duodenum or the small intestine may occur rarely and may require another surgical procedure to repair it. If the gallbladder is accidentally or deliberately opened during the procedure stones may fall out of the gallbladder and in to the abdomen that may give rise to later scarring.Indications for cholecystectomy Patients who are immunocompromised, are awaiting organ allotransplantation, or have sickle cell disease are at higher risk for the development of com...

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Jr Surgery – De Virgilio question highlights

dysphagia/esophageal webs/iron def anemia plummer vinson syndrome diagnosis with barium esophagrammost common type of parotid gland tumor pleomorphic adenoma benign but known risk of malignant transformationmost common site for foreign body obstruction in children younger than 1 larynxmost common site for foreign body obstruction in older children trachea and Right mainstem bronchusgreater auricular nerve branch of cervical plexus C2-C3 cutaneous sensation to lower portion of earbrain abscesses can be a rare complication of acute OM fever/acute onset ha/ focal neuro findings/ seizure/obvious source treat with open drainage by neurosurg...

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FlashCards for Students

Clean vs Contaminated Surgery

Describe a clean surgery. typically an elective surgery in a non-contaminated, non-traumatic and non-inflamed surgical siteList examples of a clean surgery. Neuter, “routine” laparotomy, elective orthopedic surgeryDescribe clean contaminated surgery. surgery involves the respiratory, GI, or genitourinary system, ie often a hollow organList examples of clean contaminated surgery.Describe contaminated surgery. similar surgeries to clean contaminated, but with leakage or a major break in aseptic techniqueList examples of contaminated surgery. Enterotomy, enterectomy, cholecystectomy, cystotomyDescribe dry surgery. a hollow ...

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FlashCards for Students

Surgery OSCE

Discuss Dx for Acute Cholecystitis RUQ pain; first US look for gallstones, GBW>3mm thick; Pericholecystic fluid, US Murphy’s sign. If US equivocal do HIDA scan. If complications such as perf, abscess or cancer suspected do CTSide 1 Side 2Acute cholecystitis presenting signs and symptoms? RUQ pain may radiate to R flank and back; sharp, stabbing, unremitting. N/V/F/CDDx for acute cholecystitis GERD; Peptic ulcer perforation; acute pancreatitis; cholangitis; choledocholithiasis; acute hepatitis; hepatic abscess; nephrolithiasis; pyelonephritis; RLL pneumonia.Treatment plan for cholecystitis? During first 5-7 days of sx, operative manageme...

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