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19 Cards in this Set
- Front
- Back
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Can you cut out an LCIS? |
I guess not. Raloxifine, clinical exam, and mammography is the most appropriate treatment. |
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What elective procedures are acceptable for patients that are BRCA positive? |
Prophylactic bilateral mastectomy and oophorectomy |
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Which diagnostic test is mainly for detecting nonpalpable breast cancers? Which cancer is MMG less effective at finding? |
Mammogram Invasive Lobular Carcinoma |
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What is the next step after a patient has had a sterotactic core biopsy of a breast mass that shows cell types that have possible malignant capacity? |
Breast Biopsy with needle localization. Once the patient has clear margins and no malignancy then Tamoxifen chemo prevention should be started. |
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What is the Glasgow Coma Scale? |
EMV, 465 Eye opening 4: Spontaneous 3: To speech 2: To pain 1: None Motor 6: Obeys commands 5: Localizes Pain 4: Withdraws to pain 3: Decorticate (flexion) 2: Decerebrate (Extension) 1: None Verbal Response 5: Oriented 4: Confused 3: Inappropriate Words 2: Incomprehensible Sounds 1: None |
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What are some indications for surgical intervention for closed head injuries? Is surgery indicated for bilateral cerebral swelling? |
Midline shift and focal hemorrhage. No not really. |
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When surgery is not indicated for closed head injuries what is the medical management? |
ICP monitor, mechanical ventilation, IV fluids. |
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What are the GCS levels of head injury? |
Mild is 13-15 Moderate is 9-12 Severe is 8 or less. |
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What level of GCS should early intubation be done? |
Severe < 8 |
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Are intracranial mass and dilated pupil contralateral or ipsilateral? |
Generally it is Ipsilateral. |
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When should porcine and cadaveric skin be used in burn patients? |
When the TBSA affected is around 80%. |
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When is staged burn wound excision and skin coverage indicated? |
Again, when the TBSA affected is around 80%. When there is not enough autologous skin graft available. |
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What is the preferred management for burn patients with enough autologous skin grafts (< 80% TBSA) |
Early excision of the entire burn with autologous split thickness skin graft application. |
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When should split thickness grafts be used vs full thickness grafts? |
Full-thickness grafts are best for areas that require more tensile strength like the foot or weight bearing surfaces. |
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What are the recommendations for patients that should be treated at a burn center? |
< 10 or > 50 with Full thickness burns greater than 10% Any age with >20% TBSA Partial or full thickness involving face, eyes, ears, hands, genitalia, perineum, and over joints. Chemical, electrical or significant trauma Special support socially, emotionally, or with long term rehabilitaion. |
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What needs to be considered in a burn patient where the oropharynx is red, blistered, or dry? |
Intubation |
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What test should be done in all patients in closed-space fires? |
COHgb value |
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When is limb loss a consideration with LEVPOD? |
When there is multilevel occlusion evidenced by ulceration (tissue loss) Bypass is required. |
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When should amputation be considered in patients with LEVPOD? |
When there is gangrenous tissue and patients are non-ambulatory. |
