Surgery: Miscellaneous Flashcards

1
Q

Post-operative fever 1-2 days later

A

WIND

  • pneumonia
  • aspiration
  • PE
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2
Q

Post-operative fever 3-5 days later

A

WATER

- UTI

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3
Q

Post-operative fever 5-7 days later

A

WOUND

  • infection site
  • abscess
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4
Q

Post-operative fever 5+ days later

A

WALKING

  • DVT
  • PE
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5
Q

No food before operation for

A

6 hours

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6
Q

No clear fluids before operation for

A

2 hours

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7
Q

When do you stop COCP before operation?

A

4 weeks before

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8
Q

Anticoagulation before operation

A

Stop warfarin

Start LMWH

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9
Q

Post-operation anticoagulation

A

LMWH 6 hours post operation

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10
Q

Complications of laparoscopy

A

Vasovagal reaction
Subcutaneous emphysema
Damage to tracts/vessels

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11
Q

Ginko-leaf sign on an X-ray

A

Subcutaneous emphysema

- air under skin

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12
Q

Air under skin

A

subcutaneous emphysema

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13
Q

Abnormal connection between two epithelial surfaces

A

Fistulas

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14
Q

Fistula connecting intestine to skin

A

Enterocutaneous fistula

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15
Q

Fistula connecting two parts of the intestines

A

Enteroenteric/ enterocoelic fistula

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16
Q

Fistula from the end of the bowel to the skin around anus

A

Fistula in ano

17
Q

Fistula connecting intestine to bladder

A

Enterovesicular fistula

18
Q

Fistula connecting intestine to vagina

A

Enterovaginal fistula

19
Q

Gas bubbles during urination

recurrent UTIs

A

Enterovesicular

20
Q

Discharge to perineum

Abscess

A

Fistula in Ano

Inv: Endoanal US / MRI

21
Q

Management of fistula in ano

A

Simple: Keep open (fistulotomy)
Complex: Seton band insertion
Ligation of intersphinteric tract (LIFT)

22
Q

Bacterial overgrowth
Malabsorption syndrome
Worse in IBD patients

A

Enteroenteric fistula

23
Q

High output enterocutaneous fistula

A

> 500ml

24
Q

Low output enterocutaneous fistula

A

<250ml

25
Q

Electrolyte rich secretions from an enterocutaneous fistula

A

Duodenal/jejunal cutaneous fistula

26
Q

Leaky faeculent material from an enterocutaneous fistula

A

Colocutaneous fistula

27
Q

Common causes of fistulas

A

IBD (Crohns)
Diverticulitis
Radiotherapy

28
Q

Management of most fistulas

A

Self resolving

29
Q

When do you stop anti platelets before surgery

A

Stop for 7 days (half-life) as they block PLTs irreversibly

  • Aspirin
  • Clopidogrel etc
30
Q

Other drugs to stop before general anaesthetic

A

NSAIDs

ACE Inhibitors