100 surgical vignettes - surgical recall Flashcards
(101 cards)
1
Q
elderly female, SBO, and air in biliary tract
A
gallstone ileus
2
Q
elderly female with pain down inner aspect of thigh
A
obturator hernia (Howship-Romberg sign)
3
Q
abdominal pain, hypotension, and abdominal pulsatile mass
A
ruptured AAA
4
Q
abdominal pain “ out of proportion’ to abdominal exam
A
mesenteric ischemia
5
Q
arm pain and syncope with arm movement
A
subclavian steal syndrome
6
Q
increasing creatinine on ACEi
A
Renal artery stenosis
7
Q
child with MIDLINE neck mass
A
thyroglossal duct cyst
8
Q
child with LATERAL neck mass
A
Branchial cleft cyst
9
Q
crush injury and dark urine
A
myoglobinuria
10
Q
emesis, chest pain radiating to back, and mediastinal air
A
Boerhaave’s
11
Q
Lower GI bleed + technectium pertechnetate scan
A
Meckel’s diverticulum
12
Q
Flushing, diarrhea, and right-sided heart failure
A
carcinoid
13
Q
pneumaturia and LLQ pain
A
colovesical fistula
14
Q
Desmoid tumor, osteoma, and colon cancer
A
Gardner’s syndrome
15
Q
Epigastric pain radiating to back and flank ecchymosis
A
Hemorrhagic pancreatitis
16
Q
pancreatitis and palpable epigastric mass
A
pancreatic pseudocyst
17
Q
Liver abscess with “anchovy paste’
A
Amebic abscess
18
Q
RUQ pain, travel, and exposure to sheep
A
Hydatid cyst
19
Q
Caput medusae
A
portal HTN, cirrhosis
20
Q
45yo F with RUQ pain for 12 hrs, fever and leukocytosis
A
acute cholecystitis
21
Q
elderly male with large nontender palpable gallbladder
A
pancreatic cancer (Courvoisier’s sign)
22
Q
Female taking birth control pills with liver mass
A
hepatic adenoma
23
Q
liver tumor with “central scar”
A
focal nodular hyperplasia
24
Q
pancreatic mass, gallstones, DM, diarrhea
A
somatostatinoma
25
RUQ bruit and CHF in young adult
liver hemangioma
26
excruciating pain with bowel movement
anal fissue
27
abdominal pain, diarrhea, and anal fistulae
Crohn's disease
28
EKG with "peaked" T waves
Hyperkalemia
29
Buccal Mucosa with pigmentation
Peutz- Jeghers syndrome
30
LLQ pain, fever, and change in bowel habits
diverticulitis
31
elevated urine 5-HIAA
carcinoid
32
institutionalized, abdominal pain, vomiting, and distention, with proximal colonic dilation
sigmoid volvulus
33
Infant with projectile vomiting
pyloric stenosis
34
newborn with failure to pass meconium in first 24 hours
Hirschsprung's disease
35
infant with bilious vomiting
malrotation
36
Newborn with abdominal defect and umbilical cord on sac
omphalocele
37
teenager with knee pain and 'onion skinning' on x-ray
Ewing's sarcoma
38
pulmonary capillary wedge pressure <18, CXR with B/L pulmonary infiltrates and PaO2: FiO2 ratio <300
ARDS
39
Increased peak airway pressure, low urine output, and urinary bladder>25mmHg
abdominal compartment syndrome
40
Newborn with inability to "pass an NGT"
esophageal atresia
41
Traumatic blinding in one eye followed bby blindness in the contralateral eye 2 weeks later
Sympathetic ophthalmia
42
miotic pupil, ptosis, and anhidrosis
Horner's syndrome
43
Traumatic head injury, conscious in ER followed by unconsciousness, tearing of middle meningeal artery/branches, does not cross suture lines
Epidural hematoma (lucid interval)
44
"worst headache of my life"
subarachnoid hemorrhage
45
head trauma, crescent like CT scan, tearing of bridging veins, crosses the suture lines
subdural hematoma
46
hematuria, flank pain, and abdominal mass (palpable)
renal cell carcinoma
47
60 yo white male with painless hematuria
bladder cancer
48
RUQ pain, jaundice and fever
cholangitis
49
epigastric pain radiating to back with N/V
pancreatitis
50
"tearing" chest pain radiating to back
aortic dissection
51
40 yo male with tachycardia/HTN and confusion on postoperative day #2
alcohol withdrawal
52
pheochromocytomas, medullary thyroid cancer, Marfanoid body habitus, mucosal neuromas
MEN 2B
53
psammoma bodies
papillary thyroid cancer, papillary serous sporadic cystadenocarcinoma of the ovary, mesothelioma, meningioma
54
yellow sulfur granules, orofacial abscesses, abdominal abscess, possibly PID in women with IUD
Actinomyces
55
Thyroid tumor with AMYLOID tissue
medullary thyroid cancer
56
palpable neck tumor and hypercalcemia
parathyroid cancer
57
HTN, diaphoresis (episodic) and palpitations
pheochromocytoma
58
HTN, elevated liver enzymes, low-platelets, preeclampsia
HELLP syndrome
59
jejunal ulcers
Zollinger-Ellison syndrome
60
pituitary tumor, pancreatic tumor (gastrinoma), and parathyroid tumor
MEN-1
61
necrotizing migratory erythema
Glucagonoma
62
medullary thyroid cancer, pheochromocytoma and hyperparathyroidism
MEN-2A
63
hypoklaemia refractory to IV potassium supplementation
Hypomagnesemia
64
Necrotizing enterocolitis (NEC)
newborn with pneumatosis
65
child with abdominal mass that CROSSES midline
Neuroblastoma
66
Child <4 yo with abdominal tumor that does NOT cross midline
Wilm's tumor
67
"currant jelly" stools and abdominal colic
intussusception
68
femur (long-bone) fracture, respiratory failure, petechiae, and mental status changes
fat embolism
69
hearing loss, tinnitus, and vertigo
Meniere's disease
70
adolescent boy with nasal obstruction and recurrent epistaxis
juvenile nasopharyngeal angiofibroma
71
child <5 yo sitting upright and drooling with "hot potato" voice, no HIB vax
epiglottitis
72
angina, syncope, and CHF
aortic stenosis
73
tobacco use, asbestos exposure, and pleuritic chest pain
mesothelioma
74
supracondylar fracture and contracture of forearm flexors
Volkmann's contracture
75
tibia fracture, "pain out of proportion', pain on passive foot movement, and palpable pulses
compartment syndrome
76
25 yo male with liver mass with fibrous septae and no history of cirrhosis or hepatitis
fibrolamellar hepatocellular carcinoma
77
EKG with flattening of T waves and U waves
hypokalemia
78
Central pontine myelinolysis
too-rapid correction of hyponatremia
79
polydipsia, polyuria, and constipation
Hypercalcemia
80
Factor VIII deficiency
Hemophilia A
81
Abdominal pain, fever, hypotension, HYPERkalemia, and HYPOnatremia
adrenal insufficiency (Addisonian crisis)
82
massive urine output and HYPERnatremia
Diabetes insipidus
83
increased urine osmolality, HYPOnatremia, and low serum osmolality
SIADH
84
IV antibiotics, fever, diarrhea
C.diff pseudomembranous colitis
85
bleeding gums and wound dehiscence
central line infection
86
appendectomy followed by fever and abdominal pain on postoperative day #7
peritoneal abscess
87
advancing crepitus, fever, and blood blisters
necrotizing fasciitis
88
high Intraoperative fever
malignant hyperthermia
89
confusion, ataxia, and ophthalmoplegia
Wernicke's encephalopathy
90
tracheal deviation, decreased breath sounds and hyperresonance
Tension pneumothorax
91
Hypotension, decreased heart sounds, and JVD
pericardial tamponade
92
Four ribs broken in two places and pulmonary contusion
flail chest
93
Otorrhea (clear) and Battle's sign
Basilar skull fracture
94
Ulcer and decreased pain with food
Duodenal ulcer
95
vomiting, retching, and epigastric pain
mallory-weiss tear
96
Fever on post-operative day #1, with "bronze" weeping, tender wound
clostridial wound
97
hematochezia and tenesmus
rectal cancer
98
upper GI bleed, jaundice, and RUQ pain
hemobilia
99
gallstones, epigastric pain radiating to back, and nausea
gallstone pancreatitis
100
18 yo F with blood nipple discharge
ductal papilloma
101
irritability, diaphoresis, weakness, tremulousness, and palpitations
Insulinoma
