Definitions and common PIMP questions
Terms in this set (69)
Synonymous with laparotomy; surgical incision into the peritoneal cavity
Surgical hernia repair
Malignant smooth muscle tumor
Inflammation and swelling of soft tissue resulting in a swollen mass - usually refers to pancreatic tissue
Incomplete semicircular folds of tissue in the lumen of the large intestine
Fluid or drainage
Left flank and LUQ dullness to percussion with tympany in the right flank and upper quadrant. Seen in splenic rupture
JVD + muffled heart sounds + hypotension. Seen in cardiac tamponade.
AMS + axillary/thoraxid petechiae + dyspnea. Seen in fat emboli syndrome.
Metastatic tumor of the rectouterine or rectovesicular pouch (pouch of Douglas) that forms a palpable "shelf" on rectal exam.
Referred pain in the right subscapular region, originating from cholelithiasis.
Emesis with retching + epigastric distention + failure to pass an NGT: seen with gastric volvulus.
Flushing, diarrhea, and right-sided heart failure
Enlarged, nontender gallbladder with obstruction of the common bile duct. Usually associated with pancreatic CA.
Periumbilical bruising secondary to retroperitoneal hemorrhage, e.g. hemorrhagic pancreatitis
HTN + bradycardia + irregular respirations.
Seen in increased intracranial pressure.
Empty RLQ in pediatric ileocecal intussusception.
A maneuver used to differentiate intraabdominal masses from abdominal wall masses. If mass is palpable with ABD muscles tensed, the mass is in the wall.
Inguinal ligament ecchymosis secondary to retroperitoneal hemorrhage
An anal fistula's path will be straight anteriorly and curved posteriorly.
Crunching sound on auscultation of the heart secondary to pneumomediastinum
Pain on the inner thigh secondary to obturator hernia with nerve compression
Left shoulder pain secondary to referral from diaphragmatic irritation after splenic rupture
Visible ureteral peristalsis on retraction/squeezing, used to identify the ureter during surgery.
Meckel's diverticulum: the rule of 2's
2% of the population has them, 2% of those are symptomatic, and they generally occur within 2 feet of the ileocecal valve
Pheochromocytoma: the rule of 10's
10% are bilateral, 10% are malignant, 10% are in kids, 10% are extra-adrenal, and 10% are multiple
cholelithiasis + hiatal hernia + diverticulosis
Sister Mary Joseph's node
Metastatic enlargement of an umbilical lymph node
Metastatic enlargement of the left supraclavicular node
Perforated peptic ulcer --> RLQ pain secondary to succus drainage
Afferent loop syndrome
Obstruction of the afferent limb of a Bilroth II gastrojejunostomy
Blind loop syndrome
Bacterial overgrowth of the intestine secondary to stasis
Thrombosis of the hepatic veins
Autonomic instability, ABD pain, and diarrhea secondary to dumping of hyperosmolar chyme into the small intestine
GI polyps + sebaceous cysts + osteomas + desmoid tumors
Claudication pain in buttocks and thighs with leg atrophy secondary to iliac artery obstruction
Chemical pneumonitis secondary to inhalation of gastric contents
Extrinsic common hepatic duct obstruction secondary to a gall stone in the GB or cystic duct
Massive, non-obstructive colon dilation
Benign GI polyps + hyperpigmented spots on the lips and buccal mucosa
Iron-deficiency anemia leading to esophageal webbing, atrophy of the oral mucosa, dysphagia, and koilonychia.
Hypokalemia, hypomagnesemia, and hypophosphatemia
GI tract telangiectasias and AV malformations
DVT + carcinoma
Most common indication for surgery in Crohn's disease
small bowel obstruction
Most common type of melanoma
Most common site of breast CA
Tail of Spence
Most common type of breast CA
infiltrating ductal carcinoma
Most commonly affected vessel in bleeding duodenal ulcer
Most common cause of cholangitis
Most common cause of pancreatitis
Most common bacteria in the stool
Most common cause of SBO in adults
Most common cause of SBO in kids
Most common site of GI carcinoids
Most common site of distant metastasis of sarcomas
Most common position of anal fissures
Most common cause of a large bowel
Most commonly injured ABD organ in trauma
Most common benign tumor of the liver
Most common cause of pneumonia in the ICU
Most common type of hernia
right inguinal hernia
Most common cause of esophageal rupture
Most common cause of free intraperitoneal air
Most common site of metastasis of colon CA
YOU MIGHT ALSO LIKE...
Clinical Dermatology Guide
Surgical Signs, Triads, and Syndromes to Know (Surgical Recall)
Surgical signs/triads/syndromes/most commons/pre-operaive prep
Surgical Recall Ch 2 Surgical Syndromes
OTHER SETS BY THIS CREATOR
Surgery 18 - Surgical Disease of the Esophagus (p57-58)
Surgery 1 - Surgical Operations to Know (p1-2)
World Studies Final
Surgery 22 - GI Hemorrhage (p72-75)