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64 Cards in this Set
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Peripherally inserted central catheter is called |
Hickmann line |
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Best method to access nutrition of a surgical patient |
S. Albumin |
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What is MUST tool |
Malnutrition universal screening tool BMI Weight loss Any disease |
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Best method to confirm the position of NG tube |
pH determination using litmus |
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Freka tube is other name for |
NJ tube |
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What are the types of Feeding jejunostomy |
Stamm's tube - direct stab Witzel's tube - tunnelling FJ |
Best for retaining is witzel's tube |
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Composition of TPN |
20 % amino acids 20% lipids 60% dextran |
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Best route for parentral nutrition |
Infraclavicular subclavian vein |
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Mixed venous saturation in distributive shock is high or low |
High due to reduced uptake of O2 by tissues Normal 50 to 70% |
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Criteria for SIRS |
TWo HR Temperature <35 or >38 WBC <4000 or > 12000 HR >90 RR > 20 or paCO2 < 32 |
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Pulse rate starts increasing at which stage of hemorrhagic shock |
Stage 2 |
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Size and flow rate of green venflon |
18 G 85ml / min |
Oh god white God please book yellow van Orange 14 Gray 16 White 17 Green 18 Pink 20 Blue 22 Yellow 24 Violet 26 |
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Color and calibre of most commonly used foley's catheter |
Orange - 16 Fr Others : red (18 ) and green (14) |
One Fr = 0.33 mm |
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Ideal length of suture material is given by |
Jenkin rule Length of suture material = 4 times the length of wound |
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Gold standard method of bowel anastomosis |
Halstead mathieson method Extramucosal single layer closure |
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Supporting suture for bowel anastomosis |
Lambert suture Seromucosal supporting suture by 3 O silk |
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Chevron incision is for |
Pancreatic surgery called roof top incision |
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Example of muscle cutting and muscle splitting incision |
Rutherford morrison ( muscle cutting) and Gridiron McArthur ( muscle splitting) |
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What is CUSA |
Cavitron ultra sound aspirator Used in liver resection Produce 23 kilo Hz |
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TRALI usually occurs from which transfusion |
FFP |
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Most common complication after blood transfusion |
Febrile non hemolytic transfusion reaction |
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Indications for removal of ICD |
Expanded lung Collection < 20 ml/ day |
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What is common on post op day 5 |
Surgical site infections |
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What is salmon sign |
Sudden gush of serous fluid Seen in burst abdomen ( first sign) |
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Grades for SSI |
Southampton grading Asepsis score |
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Pressure sores are common in |
Indira Gandhi statue has more ornaments |
Ischial tuberosity Greater trochanter Sacrum Heel Lateral > medial malleolus Occiput |
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What is time out |
Before surgical incision |
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Order of removing PPE |
Good friends do arrange marriage buddy |
Gloves Face shield and goggles Apron Mask Boots |
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Which method of gas inflation in laparoscopy has more chance of bowel injury and less chance of major vessel injury |
Hassan cannula |
V are closed to avoid bowel injury |
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What is crash 2 trial |
Give injection tranexamic acid if SBP <90 or PR >110 / min |
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Disability scores used in trauma |
GCS RTS ( reverse trauma scale) Tris score MESS ( mangled extremity severity score) AIS score ( abbreviated injury severity score) |
RTS RR, BP and GCS |
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What is AMPLE survey |
Secondary survey used in trauma patients |
A- allergy M- medication P- pregnant or not L- last meal E- explain mechanism of injury |
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Denver's criteria |
Screening test to determine when to take CT angio of neck in blunt cerebrovascular injury |
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ICD is inserted at |
Upper border of rib in the safety triangle |
Mid axillary line Pectoralis major Axilla 5th ICS |
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Thoracotomy is indicated when > 1000 ml of blood is collected in ICD after blunt trauma. True or false |
False > 1500 ml in blunt trauma and > 1000 ml in penetrating trauma and > 200 ml per hour in any trauma |
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What is Becks triad? |
Seen in pericardial tamponade Low BP Raised JVP Muffled heart sounds |
Absent heart sound in case of tension pneumothorax |
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Bergvist triad |
Pelvis or spine fracture Rib fracture Diaphragmatic injury |
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Diagnostic peritoneal lavage is positive when |
> 10 ml frank blood > 500 WBC per ml > 1 lakh RBC per ml Food or bile Amylase > 19 units per litre ALP > 2 units per litre Bilirubin > 0.01 mg / dl |
In case of thoracoabdominal stabs RBC > 10000 is positive |
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Sign of pneumothorax on eFAST |
Stratosphere sign or barcode sign or seashore sign |
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What is pringle manoeuvre |
Clamp to inflow vessels of liver in the epiploic foramen in case of liver injury DCR |
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Splenectomy is indicated in which grade of splenic injury |
Grade 4 &5 |
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What is zone 2 of retroperitoneal hematoma |
Kidney |
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What is Catell Braasch manoeuvre? |
Medial rotation of right sided viscera to explore IVC |
Mattox manoeuvre is to explore aorta |
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What is Fullen's zone 2 ? |
SMA from pancreatic edge to middle colic branch Explored via lesser sac |
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What is the criteria for ACS |
> 20 mmHg on 3 occasions at 1 to 3 hours apart |
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What is grade 3 ACS |
Intraabdominal pressure 25 to 35 cmH2O |
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What is NEXUS criteria |
Indication of X ray cervical spine in spine injury Other criteria : Canadian C spine rule ( CCR) |
NEX and NEMU rule gives the length of NG tube in adults and children respectively |
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Indications for surgery in compartment syndrome of leg |
Compartment pressure > 30 mmHg or Pressure gradient < 35 mmHg |
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Most common mechanism of small and large intestine injury |
Blunt and penetrating trauma respectively |
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Clip and drop method is used in |
Small bowel injury Proximal ostomy and distal clip and drop |
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Chance fracture |
Avulsion fracture of posterior element of lumber vertebra Seen in high seat belt use |
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Hypertrophic scar is more common on |
Flexor surface It is the proliferation of mature fibroblast |
Keloid more common over sternum Immature fibroblast and blood vessels |
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11 size |
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Granny or slip knot Two knots of same type |
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IOC for flail chest |
3D CT to display vascular structures |
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What's the most common cause of felon and paronychia |
Staph aureus |
Felon - pulp space infection of middle or terminal phalanx |
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Fly used for maggot therapy |
Green blow fly ( phaenicia sericata ) |
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Most surgically accessible neck zone |
Zone 2 Between cricoid cartilage to angle of mandible |
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Pseudoaneurysm is seen in which grade of blunt cerebrovascular injury |
Denvers grade 3 |
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Trap door thoracotomy is needed for |
Left subclavian arterial repair |
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Suction pressure for VAC and ICD |
-125 mmHg and 20 cmH2O respectively |
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What is Mackler's triad |
Vomiting Chest pain Subcutaneous emphysema Seen in barotraumo oesophagus |
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Hilton method of drainage of abscess is used in |
Neck Axilla Parotid |
To avoid injury to major vessels and nerves |
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Causes of cold abscess |
Tb Nodular leprosy Gummatous degeneration Actinomycosis |
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