FlashCards for Students

Surgery OSCE cases

Acute Cholecystitis – discuss diagnostic workup plan – US shows stones, GBW >3mm, pericholecystic fluid – (+) ultrasonographic murphy’s sign – if US equivocal –> HIDA scan – if perforation/complications suspected –> CT scanAcute Cholecystitis – presenting signs and symptoms RUQ pain, N/V, fever (+) Murphy’s signAcute Cholecystitis – differential diagnosis GERD, peptic ulcer pancreatitis cholangitis, choledocholethiasis acute hepatitisAcute Cholecystitis – treatment options – lap chole during first 7 days – if after 7 days, non-op management (fluids, abx) and return for...

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Surgery and Anesthesia Lecture 1

What is the definition of anesthesia? without sensationWhat is the definition of hyperesthesia? too much sensationWhat is local anesthesia? total loss of sensation in a body partWhat is general anesthesia? total loss of sensation in the entire bodyIs general anesthesia controlled and reversible? yesWhat does general anesthesia intoxicate? the CNSWhat are indications? a reason for believing that a certain course of action is desirable/necessaryWhat are contraindications? any factor in a patient’s condition that makes it unwise to follow a particular line of treatmentWhat is analgesia? without capacity to have pain...

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L21: Bariatric Surgery

BMI is a measure of… adult weight in relation to heightNormal BMI 18.5 – 24.9Overweight BMI > 25Obese BMI > 30Morbid Obese BMI > 40Indications for Bariatric Surgery BMI > 40 BMI 35-40 with comorbidities failed non-surgical attempts at weight lossWhat comorbidities are indications for bariatric surgery – severe obstructive sleep apnea – pickwickian syndrome – obesity related cardiomyopathy – degenerative joint disease – DM – HTN – hyperlipidemiaAbsolute Contraindications for Bariatric Surgery active substance abuse psychiatric disorders pregnancy (risk of malabsorption to fet...

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ORAL SURGERY TRAY SET-UP AND FUNCATIONS

Syringe For injecting of anesthetic solution into oral tissue.Bard Parker The scaple handle holds the blade and allows whole hand grip.#11 Long,pointed blade with one cutting edge,useful for delicate sulcular incisions.#12 Hawk-billed blade, used for making incisions at the gingival tissue margins and following the contours of the teeth. Cutting edge on the inner surface of the curve. –#15 Traditionally shaped surgical blade for general use. ~ 1S pg.1Periosteal Elevator To reflect (separate) and retract the peritoneum from. the bone .and detach the gingival tissues f~om around the ceIvix of the tooth. – can al~o be used for tis...

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Complications of Bunion Surgery

Grommets Swanson only implant with it3 Most common bunion complications 1. Recurrence IS MOST COMMON Is it back, or was it never corrected to begin with? 2. Postop Stiffness 3. Lesser metatarsalgia 1st ray is altered in some way that weight has been decreased under 1st ray and is transferred laterally causing transfer metatarsalgiaReoccur causes #1 reason is failure to correct IM angle -base osteotomies are hard to do (high risk of complication, patient non-compliant where cant take off work for the time needed). So may need to give a patient a second option when they really don’t have a second option -> because they say they cant take off work that ...

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Osseous Resective Surgery

Osseous Resective Surgery – PhilosophyWhat is the evidence that osseous resective surgery can produce stable results? How does this compare to other surgical techniques, APF? MWF?Olsen 1985 Osseous surg compared to APF: -FO had fewer residual pockets and less inflammation, especially in 5-8mm PDs. The Case for Osseous Resective Surgery -12 pts: compared APF vs. w/o osseous surgery, results followed for 5 yrs -Maintenance interval, 3 mo -add the numbers of PD reduction and BOP!?????????????????? BL: Osseous surgery cases at the 5-year follow-up resulted in fewer residual pockets and less inflammation than flap curettage, especially in 5-8mm pockets. ...

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Osler Day 1 – Plastic Surgery "Quiz" FINAL

Degrees of levator function with mm? Normal 12-15mm Good 8-12 Fair 5-7 Poor 2-4Ptosis grading (3) Mild 1-2mm below normal Moderate 3mm Severe 4mmRepair for mild ptosis if instillation of 2.5% phenlyephrine corrects lid to normal (5mm)? Consists of? Mullerectomy (Fasanella Servat). transconjunctival resection of a portion of the tarsus, conjunctiva, and Mueller’s muscleAbsent breast parenchyma? Amazia; still NAC. (Amastia both missing).Absent NAC? AtheliaUnilateral hypoplasia breast or absence of breast, with deformities of chest wall, overlying muscles, and upper extremity. All missing ___ of ___ on affected side. Sternal head of pec...

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CST chapter 24 robotic surgery

What term identifues the arms of a robot in surgey? ManipulatorsAn “up and down” movement of a robots arm is known as PitchThe “right to left” movement of a robotic arm is called YawWhat term is used when likening “robotic vision” to “human vision”? Binocular visionWhat allows the robotic computer to create and record three-dimensional data of the surgical site? Laser scanningWhich of the following parts for robotic surgery should NOT be sterilized? ManipulatorsSterilization of component parts for endoscopic robotic surgery is best accomplished by STERIS systemThe most popular rob...

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FlashCards for Students

Medical Terminology- Surgery

Surgical Technologists (ST) member of surgical team assisting Physicians and with prep of patient, before, during, post sugeryCST CERTIFIED SURGICAL TECHNOLOGISTcic/o to cutsect/o to cutcry/o coldelectr/o electricityesthesi/o sensation, feeling-ectomy excision (to remove) gastrectomy : removal of stomach-otomy incision (to cut) thoracotomy: cut into chest-plasty surgical repair , dermatoplasty:surgical repair of skin-scopic view insideSurgery branch of medicine dealing with operations to correct deformities, repair injuries, diagnose & cure diseasesSurgeon physician that completes additional 5...

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