Study sets matching "surgery"

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Study sets matching "surgery"

458 terms
surgery
Hypokalemia
Hyperkalemia
Hypernatremia
Hypocalcemia
-Hypokalemia classically presents with lower muscle weakness,…
Hyperkalemia is defined as a potassium concentration >5 mEq/L…
Hypernatremia is defined as a serum sodium concentration >145…
Hypocalcemia (choice C) is common in postthyroidectomy patien…
Hypokalemia
-Hypokalemia classically presents with lower muscle weakness,…
Hyperkalemia
Hyperkalemia is defined as a potassium concentration >5 mEq/L…
Surgery
Perioperative
Preoperative
Intraoperative
Postoperative
Includes preop, intraop, and postop phase of surgery
Before surgery
During surgery
After surgery
Perioperative
Includes preop, intraop, and postop phase of surgery
Preoperative
Before surgery
10 terms
Surgery
anesthesia
augment
certifiably
complication
anesthesia
augment
Surgery
Gelpi Retractor
Army Navy Retractor
Senn Retractor
Grooved Director
Used to expand and retract tissues to provide a better view d…
Used to retract tissue or bone to provide a better view durin…
Used to retract soft tissue to provide a better view during s…
Used to direct another instrument into a particular site whic…
Gelpi Retractor
Used to expand and retract tissues to provide a better view d…
Army Navy Retractor
Used to retract tissue or bone to provide a better view durin…
28 terms
Surgery
Areas overlaid by the breast
Suspensory ligaments of Cooper
Retromammary space
3 tissue types of mature breast
The female breast lies over the 2nd - 6th rib.... Two-thirds of…
Fibrous bands that provide structural support to the breast
Potential space between breast tissue and pectoralis major
Glandular epithelium (replaced by adipose tissue in postmenop…
Areas overlaid by the breast
The female breast lies over the 2nd - 6th rib.... Two-thirds of…
Suspensory ligaments of Cooper
Fibrous bands that provide structural support to the breast
Surgery
Chloroform
Carbolic acid
ligature
Aseptic
form of anaesthetic to ensure the patient feels no pain
form of antiseptic used to kill germs
silk thread used to tie blood vessels and arteries to stop bl…
sterile; free from the microbes that cause infection
Chloroform
form of anaesthetic to ensure the patient feels no pain
Carbolic acid
form of antiseptic used to kill germs
244 terms
surgery
intermittent calf claudication what ar…
prosthetic knee replacement with infec…
recent cardiac catheterization then su…
for pts with blunt trauma in car accid…
peripheral arterial disease must be assessed... ankle brancial…
coag neg staph epidermidis... staph aureus, gram neg rods, anae…
retroperitoneal hematoma due to bleeding from arterial access…
blunt aortic injury
intermittent calf claudication what ar…
peripheral arterial disease must be assessed... ankle brancial…
prosthetic knee replacement with infec…
coag neg staph epidermidis... staph aureus, gram neg rods, anae…
Surgery
Pain and swelling posterior to medial…
Posterior tibial tendon tendinopathy
Posterior tibial tendon tendinopathy -…
Posterior tibial tendon tendinopathy -…
Tendinopathy
- Pt usually recalls no trauma - injury may occur from twisti…
- Pain and swelling of tendon (often misdiagnosed as medial a…
Single leg toe raise
Pain and swelling posterior to medial…
Tendinopathy
Posterior tibial tendon tendinopathy
- Pt usually recalls no trauma - injury may occur from twisti…
350 terms
Surgery
Fractures
Stable patient with tibial shaft fract…
External fixation
Fat embolism syndrome
categorized by ... anatomy: proximal or middle third of shaft.…
surgical fixation with intramedullary nailing.
Most often used in setting of high-energy trauma with signifi…
ARDS caused by release of fat droplets from the marrow as may…
Fractures
categorized by ... anatomy: proximal or middle third of shaft.…
Stable patient with tibial shaft fract…
surgical fixation with intramedullary nailing.
Surgery
Immune Incompetency
Frailty Assessment
Nutritional Status
Pre-op indicators of malnutrition
-long term steroid use... -post transplant... -HIV... -diabetic... -can…
-5 meter walk test... -standing from seat
Albumin: ... -shows nutritional status over longterm (20 day h…
-fistulas: lose electrolytes and nutrients through this abnor…
Immune Incompetency
-long term steroid use... -post transplant... -HIV... -diabetic... -can…
Frailty Assessment
-5 meter walk test... -standing from seat
450 terms
Surgery
Absolute Contra-Indication to Surgery
(1) Albumin Under 3;... (2) Transferrin U…
Signs of Liver Disease That Delay Surg…
Recommendation for Smoker Awaiting Sur…
Diabetic Keto-Acidosis
Poor Nutrition (Reason to Delay Surgery)
(1) Bilirubin Over 2 (Minimal Direct Component).... (2) P.T. Ove…
No Smoking 2 Months Leading Up to Surgery (Maximum Peri-Opera…
Absolute Contra-Indication to Surgery
Diabetic Keto-Acidosis
(1) Albumin Under 3;... (2) Transferrin U…
Poor Nutrition (Reason to Delay Surgery)
444 terms
Surgery
Ideally the Perfect Surgery is:
Aseptic Technique
Asepsis
Cleaning
Safe... Necessary/Beneficial... Quick... Affordable... Painless... Smooth Re…
Used to describe all of the precautions taken to prevent cont…
Absence of pathogenic microorganisms that cause infection in…
The process by which any type of soil/organic matter is remov…
Ideally the Perfect Surgery is:
Safe... Necessary/Beneficial... Quick... Affordable... Painless... Smooth Re…
Aseptic Technique
Used to describe all of the precautions taken to prevent cont…
101 terms
surgery
Elderly woman, SBO, and... air in biliary…
Elderly woman with pain... down inner asp…
Abdominal pain,... hypotension, and... abdom…
4. Abdominal pain "out of... proportion"…
Gallstone ileus
Obturator hernia (Howship-Romberg sign)
Ruptured abdominal aortic aneurysm... (AAA)
Mesenteric ischemia
Elderly woman, SBO, and... air in biliary…
Gallstone ileus
Elderly woman with pain... down inner asp…
Obturator hernia (Howship-Romberg sign)
10 terms
Surgery
anesthesia [,ænɪs'θiːzɪə]
augment
certifiably
complication
n. Techniques for reducing sensation and feeling, especially…
v. To make bigger or better by adding to
adv. In a manner that is officially recognized
n. A factor that makes something more difficult or complex
anesthesia [,ænɪs'θiːzɪə]
n. Techniques for reducing sensation and feeling, especially…
augment
v. To make bigger or better by adding to
65 terms
surgery
ERCP
GBWT with pericholicyctic fluid
paraesophageal
barrett's esophagus - leading to adeno…
which hiatal hernia is associated with strangulation?
ERCP
GBWT with pericholicyctic fluid
47 terms
surgery
Gold standard for pre-op staging of re…
Distant Metastatic work up for Rectal…
Rectal CA tx
colon CA Tx
♣ With colonoscopy, BE, Virtual Colonography... ϒ Loco-regional…
ϒ Distant Metastatic work up-> MC spots Liver Lung Brain... ♣ Ch…
Choice of XRT-chemo-Important!!... Treatment Radiation (not in…
¥ Treatment is surgery... ¥ CC tx= surgery!!!... ¥ NO PRE TX and NO…
Gold standard for pre-op staging of re…
♣ With colonoscopy, BE, Virtual Colonography... ϒ Loco-regional…
Distant Metastatic work up for Rectal…
ϒ Distant Metastatic work up-> MC spots Liver Lung Brain... ♣ Ch…
10 terms
surgery
nervous
surgeon
scar
to fade away
to disappear
nervous
surgeon
402 terms
surgery
branches of the celiac art
branches of the SMA
branches of the IMA
branches of the aortic arch
common hepatic - gastroduodenal, L hepatic, R hepatic --> cys…
middle colic... right colic... ileocolic ... ilium... jejunum... infection p…
left colic... sigmoid branches ... superior rectal
branches of the celiac art
common hepatic - gastroduodenal, L hepatic, R hepatic --> cys…
branches of the SMA
middle colic... right colic... ileocolic ... ilium... jejunum... infection p…
429 terms
Surgery
what are the seven layers if the Abdom…
superfiical and fatty is which layer o…
deep, fibrous, dense
what are the four concepts of repair f…
skin-langers lines are transverse... Sub Q-campers, scarpas... exte…
Campers fascia
scarpas fascia
1)reduce... 2)create tension free inguinal floor... 3)recreate a cl…
what are the seven layers if the Abdom…
skin-langers lines are transverse... Sub Q-campers, scarpas... exte…
superfiical and fatty is which layer o…
Campers fascia
42 terms
Surgery
What are the ABCDEs of melanoma?
Beck's triad
Carcinoid triad
Charcot's triad
Signs of melanoma:... Asymmetric... Border irregularities... Color var…
Seen in patients with cardiac tamponade:... 1. JVD... 2. Decreased…
Seen with carcinoid syndrome (Think: "FDR"):... 1. Flushing... 2.…
Seen with cholangitis:... 1. Fever (chills)... 2. Jaundice... 3. Right…
What are the ABCDEs of melanoma?
Signs of melanoma:... Asymmetric... Border irregularities... Color var…
Beck's triad
Seen in patients with cardiac tamponade:... 1. JVD... 2. Decreased…
259 terms
Surgery
Charcot Triad for ascending cholangitis
Triad for acute pancreatitis
most common cause of small bowel obstr…
in patients w/o pre-existing intrintic…
RUQ pain... Jaundice... fever... tx w/ ERCP
mid epigastric pain radiating to back... leukocytosis... elevated a…
adhesions=>... congenital (Ladd's bands); abdominal operations o…
<400cc or less than 6cc/kg per day... prerenal azotemia = FEna <…
Charcot Triad for ascending cholangitis
RUQ pain... Jaundice... fever... tx w/ ERCP
Triad for acute pancreatitis
mid epigastric pain radiating to back... leukocytosis... elevated a…
66 terms
surgery
the finding most indicative for cardia…
the finding most indicative for pulmon…
malignant hyperthermia as post op comp…
post op fever (101-103 deg)
JVD, which indicates congestive heart failure. The next highe…
smoking, which decreases ventilation.
develops shortly after the onset of anesthesia (halothane or…
bacteremia occurs within 30-45 mins with temp spike of 104. c…
the finding most indicative for cardia…
JVD, which indicates congestive heart failure. The next highe…
the finding most indicative for pulmon…
smoking, which decreases ventilation.
61 terms
Surgery
Bipolar Cautery
Monopolar Cautery
What are the 4 differences between a M…
Where do you use a bipolar cautery?
Bipolar - 1. forcep type... 2. doesnt need a return plate... 3. ele…
in sensitive areas
Bipolar Cautery
Monopolar Cautery
231 terms
Surgery
What are the causes of postoperative f…
Acute pain and swelling of hte midline…
What is Bowen's disease?
What is suppurative hidradenitis?
5Ws... Wind (lungs): PE, pneumonia, aspiration... Wound: SSI... Water…
Infection of a pilonidal cyst... (infection of a dermal sinus t…
Squamous cell carcinoma in situ of hte skin
Clusters of abscesses/tender nodules
What are the causes of postoperative f…
5Ws... Wind (lungs): PE, pneumonia, aspiration... Wound: SSI... Water…
Acute pain and swelling of hte midline…
Infection of a pilonidal cyst... (infection of a dermal sinus t…
65 terms
Surgery
pulmonary contusion - etiology? fx? sx…
Rovsing sign and McBurney point?... seen…
blunt deceleration trauma should rule…
nasopharyngeal carcinoma - RF? sx/
blunt trauma or shock wave... fx: dmg to capillaries -> fluid a…
Rovsing sign -> pain in RLQ with deep palpation to LLQ... McBur…
blunt aortic injury via chest xray -> would see widening of m…
RF: EBV (strong), smoking, chronic nitroasmine consumption (s…
pulmonary contusion - etiology? fx? sx…
blunt trauma or shock wave... fx: dmg to capillaries -> fluid a…
Rovsing sign and McBurney point?... seen…
Rovsing sign -> pain in RLQ with deep palpation to LLQ... McBur…
30 terms
SURGERY
Bilious vomitting is seen in all excep…
80 year old man underwent transurethra…
Question 3... Regarding cutaneous amebias…
Contraindication for endoscopic cholec…
D. Pyloric stenosis
D. No further treatment
D. The infection reaches the skin through the blood stream
D. Obese individual
Bilious vomitting is seen in all excep…
D. Pyloric stenosis
80 year old man underwent transurethra…
D. No further treatment
121 terms
Surgery
Prosthetic joint infection... 1) Early-on…
Deep neck space associated with medias…
MVA + hypovolemic shock (flat neck vei…
Early satiety, nasea, nonbilious vomit…
1) Staph aureus, pseudomonas aeruginosa... 2) Staph epidermidis…
Retropharyngeal space
High risk for intra-abdominal injury w/ 'seatbelt sign'... othe…
Gastric outlet obstruction... Pyloric stenosis (stricture)
Prosthetic joint infection... 1) Early-on…
1) Staph aureus, pseudomonas aeruginosa... 2) Staph epidermidis…
Deep neck space associated with medias…
Retropharyngeal space
25 terms
surgery
best indicator of fluid resuscitation?
2 d S/P carotid endarterectomy, 62 YOM…
77 yo female from nursing home taken t…
9days after pylorus sparing pancreatod…
UOP
HTN, common after carotid endarectomy
gallstone ileus: Cholecystoduodenal fistula with an impacted…
Loss of HCO3 from GI tract --> pancreatic secretions are bica…
best indicator of fluid resuscitation?
UOP
2 d S/P carotid endarterectomy, 62 YOM…
HTN, common after carotid endarectomy
29 terms
Surgery
What are Halsted's principles of surge…
What are the four types of scissors?
What are the different methods of cutt…
What are the other grips?
asepsis ... gentle tissue handling... accurate haemostasis... preserva…
fine - metzenbaum... heavy - mayo... heavy suture scissors... ligature…
scraping - elevate muscle, separating... press cutting... slide cut…
palm grip - greater pressure... fingertip grip - longer incision
What are Halsted's principles of surge…
asepsis ... gentle tissue handling... accurate haemostasis... preserva…
What are the four types of scissors?
fine - metzenbaum... heavy - mayo... heavy suture scissors... ligature…
Surgery
anesthesia
augment
certifiably
complication
(n.)... Techniques for reducing sensation and feeling
(v.)... To make bigger or better by adding to; increase
(adv.)... In a manner that is officially recognized
(n.)... A factor that makes something more difficult or complex
anesthesia
(n.)... Techniques for reducing sensation and feeling
augment
(v.)... To make bigger or better by adding to; increase
Surgery
how should a patient with cervical spi…
list the SIRS criteria
how may SIRS criteria required for SIRS?
define sepsis
flexible bronchoscopy
1. T<36 or>38... 2. HR>90... 3. RR>20 or PaCO2<32... 4. WBC<4,000 or >…
>/=2
SIRS + source of infection
how should a patient with cervical spi…
flexible bronchoscopy
list the SIRS criteria
1. T<36 or>38... 2. HR>90... 3. RR>20 or PaCO2<32... 4. WBC<4,000 or >…
surgery
billroth 2
roux en y gastric bypass
afferent loop syndrome
cancer risk of a billroth surgery
- complication seen in Billroth 2... - most common cause = obstr…
3-6 times increased risk of adenocarcinoma in gastric remnant
billroth 2
roux en y gastric bypass
21 terms
Surgery
Pre-op for peds
Talking about diseases
Pre-op med reconciliation
Thromboprophylaxis
-No solids 8H prior to surgery ... -No formula 6H ... -No breast mi…
In A Surgeon's Gown, A Physician May Make Some Significant Pr…
-Baby ASA okay at 81mg in those with stent. ... -B-blocker: don'…
-Major orthopedic surgery: outpatient thromboprophylaxis for…
Pre-op for peds
-No solids 8H prior to surgery ... -No formula 6H ... -No breast mi…
Talking about diseases
In A Surgeon's Gown, A Physician May Make Some Significant Pr…
Surgery
anesthesia
augment
certifiably
complication
anestesia
aumentar
certificadamente
complicación
anesthesia
anestesia
augment
aumentar
117 terms
Surgery
Surgical suffixes
Scalpels
Scalpel grips
Scissors
-Centesis - to pierce or puncture... -Desis - to bind... *-Ecto…
Least traumatic method for incising tissue... - #3 scalpel is us…
- Fingertip Grip - Long incisions with a number 10 blade; h…
Can be used for dissection or sharp cutting or dissection... - T…
Surgical suffixes
-Centesis - to pierce or puncture... -Desis - to bind... *-Ecto…
Scalpels
Least traumatic method for incising tissue... - #3 scalpel is us…
10 terms
Surgery
anesthesia
augment
certifiably
complication
n. Techniques for reducing sensation and feeling, especially…
v. To make bigger or better by adding to
adv. In a manner that is officially recognized
n. A factor that makes something more difficult or complex
anesthesia
n. Techniques for reducing sensation and feeling, especially…
augment
v. To make bigger or better by adding to
262 terms
surgery
what is signalment
what is pulse deficit
where is pulse taken on a cat or dog
what is included in examination of the…
age, breed and gender
abscense of pulse with an audible heartbeat
femoral artery
hair, skin, sq tissue, footpads and nails
what is signalment
age, breed and gender
what is pulse deficit
abscense of pulse with an audible heartbeat
21 terms
Surgery
anesthesia
anesthetic
augment
augmentation
[n]... 麻醉
[n][adj]... 麻醉;麻醉的
[v]... to make bigger or better by adding to
[n]... 增加;增大
anesthesia
[n]... 麻醉
anesthetic
[n][adj]... 麻醉;麻醉的
116 terms
Surgery
What do you sterilize?
What do you disinfect?
What do you use an antiseptic on?
Halsted's principles
Objects - complete disinfection
inanimate objects - killing "most" pathogens, not full steril…
antisepsis is for living tissue - such as the patients skin
Strict aseptic technique... Gentle tissue handling... Meticulous he…
What do you sterilize?
Objects - complete disinfection
What do you disinfect?
inanimate objects - killing "most" pathogens, not full steril…
Surgery
Ejection fraction below what % leads t…
Medically optimize CHF patients with w…
4 criteria of SIRS
How many of the 4 SIRS criteria needed…
35%
ACE-I... Beta Blockers... Spirinolactone
Temp <36 or >38... HR >90... Tachypnea >20 breaths per minute, PCO2…
2
Ejection fraction below what % leads t…
35%
Medically optimize CHF patients with w…
ACE-I... Beta Blockers... Spirinolactone
93 terms
Surgery
Subacromial bursitis
Pagets disease of breast
intraductal papilloma
anorectal fistula
Pain with passive forward flexion... Treatment steps:... First: re…
scaly, burning, itchy, or ulcerating nipple... can have bloody…
benign tumor that grows in lactiferous ducts, usually beneath…
pain and purulent drainage from anus... - usually from an infect…
Subacromial bursitis
Pain with passive forward flexion... Treatment steps:... First: re…
Pagets disease of breast
scaly, burning, itchy, or ulcerating nipple... can have bloody…
Surgery
Sterile
Sterilisation
Disinfection
Antiseptic
Free of all living microogranisms
Destruction of all microogranisms and spors on an item (canno…
Is the destruciton of most pathogenic microrganims on an inan…
A chemical substance that can be applied to living tissue tha…
Sterile
Free of all living microogranisms
Sterilisation
Destruction of all microogranisms and spors on an item (canno…
119 terms
Surgery
A common mantra of wound closure...
vicryl suture
monocryl
Prolene
Approximate, don't strangulate
absorbable, braided
absorbable, monofilament
nonabsorbable- used for vascular anastomoses, hernias, abdomi…
A common mantra of wound closure...
Approximate, don't strangulate
vicryl suture
absorbable, braided
126 terms
Surgery
Diagnostic: Gun Shot Wound to Neck-Zon…
Diagnostic: Gun Shot Wound to Neck-Zon…
Diagnostic: Gun Shot Wound to Neck-Zon…
Treatment: Gun Shot Wound to Neck-Zone I
clavicles→cricoid cartilage
cricoid→angle of mandible
angle of mandible→base of skull
pan-endoscopy (angiogram, esophagogram, esophagoscopy, bronch…
Diagnostic: Gun Shot Wound to Neck-Zon…
clavicles→cricoid cartilage
Diagnostic: Gun Shot Wound to Neck-Zon…
cricoid→angle of mandible
Surgery
anesthesia
augment
certifiably
complication
n. Techniques for reducing sensation and feeling, especially…
v. To make bigger or better by adding to... In some types of pop…
adv. In a manner that is officially recognized... He couldn't be…
n. A factor that makes something more difficult or... complex... Th…
anesthesia
n. Techniques for reducing sensation and feeling, especially…
augment
v. To make bigger or better by adding to... In some types of pop…
185 terms
Surgery
How do survival rates vary depending o…
What were risk factors for nonsurvival…
What is a Rumel tourniquet?
What are the surgical approaches for a…
High survival rate (>90% for PDA, thoracic wall trauma, conge…
use of neuromusclar blocking agents... need for presurgical oxyg…
created by carefully dissecting around a vessel and passing a…
lateral intercostal thoracotomy (either left or right)... median…
How do survival rates vary depending o…
High survival rate (>90% for PDA, thoracic wall trauma, conge…
What were risk factors for nonsurvival…
use of neuromusclar blocking agents... need for presurgical oxyg…
69 terms
Surgery
perioperative period
perioperative goal
preoperative evaluation
informed consent
duration of a patients surgical procedure... ward admission... anes…
provide better conditions for patients before during and afte…
diagnosis of surgical disease... detection of comorbid factors…
voluntary... well advised... mentally competant... after full disclo…
perioperative period
duration of a patients surgical procedure... ward admission... anes…
perioperative goal
provide better conditions for patients before during and afte…
Surgery
Yersinia Enterocolitis
Shigellosis
Vibrio parahaemolyticus
Shigella
Diarrhea is initially profuse then bloody. May mimic appendic…
High fever, crampy abdominal pain, and greenish yellow diarrh…
Most common foodborne illness in Japan. Comes from raw seafoo…
GI illness associated with febrile seizures.
Yersinia Enterocolitis
Diarrhea is initially profuse then bloody. May mimic appendic…
Shigellosis
High fever, crampy abdominal pain, and greenish yellow diarrh…
16 terms
Surgery
hinchey guidelines for severity of dis…
reynolds pentad
charcots triad
secondary Ogilvie's
stageI: mesenteric abscess... II: walled off abscess... III: purule…
RUQ pain, jaundice, hypotension, fever, AMS =obstructing asce…
fever, jaundice, RUQ pain = liver blockage
opiates causing ileus
hinchey guidelines for severity of dis…
stageI: mesenteric abscess... II: walled off abscess... III: purule…
reynolds pentad
RUQ pain, jaundice, hypotension, fever, AMS =obstructing asce…
229 terms
Surgery
Barium Esophagram... Diffuse Esophageal S…
>10 mm Hg
Boerhaave's Syndrome
Boerhaave's Syndrome
Portal venous pressure of __ mmHg= portal HTN
follows bout of heavy drinking or eating
CXR: left hydropneuothorax =
Barium Esophagram... Diffuse Esophageal S…
>10 mm Hg
Portal venous pressure of __ mmHg= portal HTN
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