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Video quiz notes - general surgery
Terms in this set (51)
What types of structures are skeletonized?
Vascular or duct-like structures
Why are structures skeletonized?
Identification, isolation, and to prepare for ligation/division
What is the operative maneuver to mobilize the duodenum?
What is a way of performing blunt dissection?
What are the 2 types of peritoneum?
Parietal and visceral
What peritoneum lines the abdominal cavity?
What peritoneum covers the organ?
What is the White Line of Toldt?
What is the peritoneal reflection?
Where the visceral peritoneum of the colon meets the parietal peritoneum of the abdominal wall?
Where is the hepatic flexure located?
Where is the splenic flexure located?
What anatomical structures are located in the RUQ?
What anatomical structures are located in the LUQ?
What anatomical structures are located in the RLQ?
What anatomical structures are located in the LLQ?
What is another name for the digestive system?
What is proximal?
Closer to the point of attachment or origin
What is distal?
Farther from the point of attachment or origin
What is the most proximal portion of the alimentary canal?
What is the most distal portion of the alimentary canal?
Where does the digestive system begin?
What is another name for pharynx?
Where is the most proximal portion of the esophagus located?
Bottom of the throat and upper mediastinu
Where is the bulk of the esophagus located?
The posterior mediastinum
Where is the distal segment of the esophagus located?
Superior portion of the abdomen where is passes through the hiatus of the diaphragm then joins the cardia
What are the 5 birds of the posterior mediastinum?
4 geese and 1 duck
What are the 4 GEESE of the posterior mediastinum?
Esophagus, vagus, azygus, hemiazygus
What is the one duck of the posterior mediastinum?
What are the other 2 structures of the posterior mediastinum?
Descending thoracic aorta and inferior vena cava
What does the esophagus begin and end with?
What is the first sphincter of the alimentary canal?
Upper esophageal sphincter or pharyngosesophageal sphincter
What is another name for the lower esophageal sphincter?
What is the most distal sphincter in the esophagus?
LES (esophagogastric sphincter or cardiac sphincter)
What are the tissue layers of the esophagus?
Mucosa, submucosa, muscularis, adventitia
What are the tissue layers of the rest of the alimentary canal?
Mucosa, submucosa, muscularis, serosa
What esophageal pathology is located at the posterior wall of the esophagus below the level of the pharyngoesophageal sphincter?
What position is a patient with Zenker's diverticulum placed?
What is used to diagnose Zenker's diverticulum?
Barium swallow with a lateral view or upper endoscophy
What procedure may be scheduled to fix Zenker's diverticulum?
VATS or thoracoscopy
What does VATS stand for?
video-assisted thoracic surgery
What is the purpose for placing a chest tube and hooking it to a pleuravac?
To reestablish negative pressure
What is found under the inferior border of every rib is a bundle of what?
Nerve, artery, vein
When does GERD occur?
When the lower esophageal sphincter becomes weak or relaxes when it shouldn't
What does GERD stand for?
gastroesophageal reflux disease
What is the stomach and small intestine designed for?
To handle the hydrochloric acid and digestive juices
What causes GERD?
Increased pressure on the abdomen from obesity or pregnancy
Where is the defect of the hiatal hernia?
What is the hiatus?
The opening in the diaphragm that the esophagus passes through to join the cardia of the stomach
What muscles is the hiatus formed by?
Right and left Crus muscles
What are the three different types of hiatal hernias?
-Small defect involving cardia of stomach
-paraesophageal hernia, slightly larger defect containing cardia, fundus and some abdominal viscera
-paragesophageal hernia, large defect, containing cardia, fundus, etc. (always needs mesh)
What does a Nissan fundoplication repair?
Hiatal hernia with a full or partial wrap
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