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22 Cards in this Set
- Front
- Back
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which type of hiatal hernia is related to GERD?
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type I (sliding) mucous membrane must be 2cm above hiatus
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different types of hiatal hernias?
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type I-sliding
type II- paresophageal type III- combination I and II type IV- other organs involved |
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which test must be performed before hiatal herinia repair is considered?
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esophageal manometry (measures motility)
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classic sx. of GERD?
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heartburn in supine position relieved by antacids
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manometry results of GERD?(having one or more indicates GERD)
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pressure of less than 6mm Hg, length of less than 2cm, abd length of less than 1cm
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gold dx standard of GERD?
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esophageal pH testing using the Demeester score; two SD indicates GERD
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common complications of GERD?
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esophagitis, stricture, and barrett
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three transabdominal approaches to tx GERD?
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Nissen (360degrees), Toupet fundiplication (270degrees), and Hill post. gastropexy
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three transthoracic approaches to tx GERD?
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Nissen, Belsey Mark IV repair (270degree wrap), Collis gastropathy(lenghten esophagus)
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complications of nissen?
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inability to vomit, gas retention, and dysphagia
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trochar size and positioning for gb surgery?
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2 5mm in lateral and medial (between umbilical port and lateral port), 10mm subxyphoid and supraumbilical
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borders of triangle of calot?
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liver superiorly, common hepatic duct medially, and cystic duct inferiorly. Cystic artery branch from from the right hepatic art. crosses this triangle
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base of the cystic art is also called?
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calot's node
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bile canaliculi in the liver empty into what before the right and left hepatic biliary ducts?
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canal of hering, then to four segment ducts
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right hepatic duct is end of which to segment ducts and at what location?
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ant. and post. segment ducts joining at the porta hepatis
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left hepatic duct formed by which two segment ducts?
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medial and lateral
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which hepatic duct is often enlarged in chronic obstructive liver disease?
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left
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cause of postcholecystectomy syndrome?
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excessively long cystic duct remnant attached to common bile duct
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cystic art branches?
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ant. superficial and post. deep
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term used for palpable gallbladder?
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Courvoisier's sign
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types of reflux procedures performed after laproscopic heller myotomy?
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toupet(post.) or dor(ant.) hemifundiplication
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medical tx. for achalasia?
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botulism toxin
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