Surgical Recall: Intro And Chapter 1

Front 1

Most common intraoperative tumor

Back 1

Foley catheter

Hint 1

Not organic

Front 2

Ranson's criteria on admission

Back 2

WBC >16k

Age >55

Glucose >200

AST >250

LDH >350

Hint 2

1-2=1% mortality

3-4=15%

5= 40%

If increases to 7 with 48 h criteria, mortality rate is 100%

Front 3

Ranson's criteria at 48h

Back 3

Hct drop > 10%

BUN increase > 5mg/dL

Ca < 8 mg/dL

Arterial PO2 <60 mmHg

Base deficit (24-HCO3) > 4 mg/dL

Fluid needs >6L

Hint 3

No amylase!

Front 4

Rarest cause of pancreatitis

Back 4

Scorpion bite (Trinidad)

Front 5

PPP SAFE DISC (OP note)

Back 5

Pre-op dx

Post-op dx

Procedure

Surgeons

Anesthesia

Fluids (ins and out)

Estimated blood loss

Drains

IVF

Specimen

Complications

Front 6

Admission orders mnemonic: ACDC VANDALISM

Back 6

Admit toCaring physicianDiagnosisConditionvitalsAllergiesNursing ordersDietActivityLabsIVF or Incentive spirometryStudiesMedsPLUS, "call if..."

Front 7

Amaurosis fugax

Back 7

Transient vision loss in one eye

Front 8

Celiotomy

Back 8

Surgical incision into peritoneal cavity

Hint 8

aka laparotomy

Front 9

cleido-

Back 9

denotes clavicle

Front 10

Cor pulmonale

Back 10

Enlarged RV d/t lung dz and pulmonary HTN

Front 11

cyst

Back 11

Abnml sac or closed cavity lined with epithelium and full of fluid or semisolid material

Front 12

Endarterectomy

Back 12

Surgical removal of an atheroma and the inner part of the vessel wall to relieve an obstruction

Front 13

Enterolysis

Back 13

lysis of peritoneal adesions

Hint 13

Do not confuse with enteroclysis

Front 14

-orrhaphy

Back 14

surgical repair

Front 15

Induration

Back 15

Abnml hardening of an issue or organ

Front 16

Phlegmon

Back 16

Diffuse inflammation of the soft tissue, resulting in swollen mass of issue (usually seen in pancreatic tissue)

Front 17

large or small bowel? plicae circulares

Back 17

small

Hint 17

other is plicae semilunaris

Front 18

what is pus make of?

Back 18

dead leukocytes & fluids

Front 19

succus

Back 19

Fluid

Front 20

What is the trendelenburg posture for OR

Back 20

pelvis above head at 45 degrees

Front 21

wet-to-dry dressing

Back 21

Damp gauze placed and removed when dry to provide microdebridement

Front 22

Ballance's sign

Back 22

Dullness to percussion in LUQ and resonance to percussion in R flank seen with splenic rupture

Front 23

Beck's Triad

Back 23

1) JVD

2) Decreased or muffled heart sounds

3) Decreased blood pressure

Front 24

Bergman's triad (seen with fat emboli)

Back 24

1) Mental status change

2) Petechiae of axilla/thorax

3) Dyspnea

Front 25

Blumer's shelf

Back 25

mets to rectouterine (pouch of douglas) or retrovesical pouch creating palpable shelf on rectal exam

Front 26

Boas' sign

Back 26

subsapular pain on R due to cholelithiasis

Front 27

Borchardt's triad (gastric volvulus)

Back 27

1) Emesis with retching

2) Epigastric distension

3) can't pass an NGT

Front 28

carcinoid triad

Back 28

Flushing

Diarrhea

R-sided heart failure

Front 29

Charcot triad

Back 29

1) Fever

2) Jaundice

3) RUQ pain

Front 30

Reynold's pentad

Back 30

Charcot triad plus:

4) Mental status change

5) Shock/sepsis

Hint 30

supporative choleangitis

Front 31

Signs of retroperitoneal bleeding

Back 31

1) Cullen's sign (blue periumbilical region)

2) Fox's Sign (ecchymosis of inguinal ligament)

3) Grey Turner Sign (ecchymosis of flank)

Front 32

Cushing's triad

Back 32

1) HTN

2) Bradycardia

3) Irregular respirations

Hint 32

increased ICP

Front 33

Fothergill's Sign

Back 33

mass felt with tension on abd musculature=abd wall mass

Hint 33

vs. intra-abdominal

Front 34

Hamman's sign

Back 34

Crunching sound on heart auscultation

Hint 34

r/t Boerhaave's syndrome and pneumomediastinaem

Front 35

Howship-Romberg sign

Back 35

Inner thigh pain d/t nerve compression from obturator hernia

Front 36

Kehr's sign

Back 36

L shoulder pain in splenic rupture

Front 37

Kelly's Sign

Back 37

Peristalsis of ureter when squeezed during surgery

Front 38

Meckel's Rule of 2's

Back 38

1) 2% of population

2) 2% symptomatic

3) W/in 2 feet of ileocecal valve

4) Before age 2

5) 1out of 2 pts have ectopic gastric tissue

6) ~2 in. long

7) 2:1 M:F

8) >2 layers of tissue (true diverticulum)

Front 39

tests for appy

Back 39

1) McBurney (1/3 from ASIS to umbilicus)

2) Obturator Sign (pain with int rotation of leg with hip & Knee flexed)

3) Psoas sign (pain with extension of hip with extended knee)

4) Rovsing sign (LLQ palpation causes RLQ pain)

Front 40

Pheochromocytoma triad

Back 40

1) Palpitations

2) HA

3) Episodic diaphoresis

Front 41

Saint's triad

Back 41

1) Cholelithiasis

2) Hiatal hernia

3) Diverculosis

Front 42

Gastric CA signs

Back 42

1) Krukenberg tumor (mets to ovary)

2) Sister Mary Joseph node (periumbilical node involvement)

3) Virchow's node

Front 43

Pheo rule of 10

Back 43

1) 10%B/L

2) 10% malignant

3) 10% In Kids

4) 10% extra-adrenal

5) 10% with multiple tumors

Front 44

Valentino's Sign

Back 44

RLQ pain from perforated pepticular causing pus to drain to RLQ

Front 45

Westermark's Sign

Back 45

Loss of lung vascular markings on CXR due to PE

Front 46

Whipple Triad for Insulinoma

Back 46

1) Hypoglycemia (<50)

2) CNS or vasomotor sxs (syncope or diaphoresis, eg)

3) sxs resolve with qlucose