Week 6 Flashcards
A fistula is an ______________ between a __________ and the __________ , or between ___________¹.
A wound sinus is a __________________________ that extends from the ___________ of an organ to an __________________ ”
abnormal passage
hollow organ ; skin surface;
discharging blind-ended tract
surface; underlying area or abscess cavity
Kasai portoenterostomy is the classic operation for the condition of ______________ and consists of _________ of all _________ remnants and the _________ then using a _________ of mobilised _________ to anastomose to the denuded transected portal plate within the porta hepatis at the _________ of the liver.
congenital biliary atresia
excision
extrahepatic bile duct ;gallbladder
Roux loop ; jejunum
root
One hb = ____gm of bilirubin
35
Bile is _______ color then on exposure to line it becomes ________
golden yellow
Green
5 major problems of obstructive jaundice
________________
___________ fixed with ____________
____________
_______________fixed by ____________ fluid
___________ tendencies
Hepatorenal syndrome
dehydration; dextrose water
sepsis
hypoglycemia; glucose containing
bleeding
Retrograde ____________ intussusception is a rare complication of _________ and _________reconstruction
jejuno-gastric
gastrojejunostomy
Billroth II
In a Billroth II reconstruction after a __________________, the ______________ is (opened or closed?) and a ____________________ is created
partial gastrectomy
duodenal stump
Closed ; gastrojejunostomy
A choledochal cyst (CC) or biliary cyst is a congenital or acquired anomaly affecting the biliary tree. It involves the _________ of the __________ that could affect the ____________ and/or the ___________ segments.
dilation; biliary tree
extrahepatic ; intrahepatic
The triangular cord sign is a triangular or tubular ___________ of ________ tissue, representing the _________ of the _____________________ , seen in the porta hepatis at ____________, and is relatively specific for the diagnosis of biliary atresia 1,2.
echogenic cord ; fibrous
ductal remnant; extrahepatic bile duct
ultrasonography
Peak incidence of intussusception is e between ??
6th to 9th month after birth
Diarrhea can cause intussusception
T/F
T
Meckel’s rule of 2
Epidemiology: ________,___________,_______
Anatomical: _________,_________
Two types of _______________
2% of the population
presentation before the age of two.
2 times more common in males
2 feet from the ileocecal valve
2 inches in length
heterotopic Mucosa
Primary causes of intussusception?
Change in diet at weaning
URTI
Nonoperative reduction — Nonoperative reduction using ________ or _________ by enema
hydrostatic
pneumatic pressure
17 pathologic lead points of Intussusception
Meckel’s Diverticulum
Acute appendicitis
Lymphoma
Intestinal polyps
Scar tissue/adhesions
Coeliac disease
Henoch schnolein purpura
Crohn’s disease
Waugh’s syndrome
Myelomeningocoele
Most causes of cholestatic jaundice are a result of diseases of the _________ or ___________ , including intrahepatic forms caused by _______,_________,_________ , and destruction of the interlobular ducts.
liver or biliary tract
drugs, alcohol, infection
Types of internal fixators include:
Mention 3
Plate and screws
Kirschner wires
Intramedullary nails
An orthopedic plate is a form of __________ fixation used in orthopaedic surgery to hold __________ in place to allow __________ and to reduce the possibility of __________. Most modern plates include bone __________ to help the orthopedic plate stay in place.
internal ; fractures
bone healing
nonunion ; screws
___________ wires or K-wires or pins are sterilized, sharpened, smooth stainless steel pins.
They come in different sizes and are used to ____________________ (
___________ fixation) or to provide an anchor for ___________.
The pins are often driven into the bone through the _______ (___________ fixation) using a ________ or _________ . They also form part of the ___________ apparatus.
Kirschner
hold bone ;pin
skeletal traction. ; skin
percutaneous pin ; power or hand drill
Ilizarov apparatus.
An intramedullary rod, also known as an intramedullary nail (IM nail) or inter-locking nail or __________ nail , is a __________ forced into the __________ of a bone.
IM nails have long been used to treat fractures of _______ bones of the body.
Küntscher nail ; metal rod
medullary cavity ; long bones
IM nails resulted in earlier return to activity for the soldiers, sometimes even within a span of a few weeks, since they _______________________, rather than entirely _______________
share the load with the bone
supporting the bone
Open Reduction Internal Fixation (ORIF)
Open reduction refers to _____________________, as is necessary for some fractures.
Internal fixation refers to fixation of _____________________, _____________________, and other devices to enable or facilitate healing.
open surgery to set bones,
screws and/or plates
intramedullary rods