Surgery Flashcards
Patient population and pathology of AAA?
Dx?
Symptom?
Old male smoker
Atherosclerosis
US
Asx pulsatile mass
What do we do with the following aneurysm sizes? 3-4cm 4-5 cm 5-5.4 Greater than 5.5
Watch and screen every 2 years
Watch and screen every year
Screen every 6 months
Operate
What growth rate do we operate on an AAA?
.5 cm every 6 months
Where does the pain radiate in AAA?
Back
Pathology of dissection?
HTN
Triad of dissection?
Tearing chest pain to the back
Asymmetric BP
Widened mediastinum
2 conditions associated with dissection?
Best diagnostic test for dissection?
Best diagnostic test if kidney failure?
Marfan, syphilis
CT angiogram
TEE or MRI
3 steps of treating carpal tunnel?
Splinting and NSAIDS
Steroid injections
Surgery
Diagnosis of carpal tunnel is made how?
3 patients getting carpal tunnel?
Wrists in flexion all day
Hypothyroid
Diabetes
Jersey finger?
Mallet finger?
Trigger finger?
Tear flexor tendon, stuck in extension
Tear extensor tendon, stuck in flexion
Inflammation of extensor tendon, stuck in flexion, pop when put back in extension
Two patient populations for dupuytren contracture?
Patho?
Alcoholics and Scandinavians
Fascia is balled up and contracted in the hand, flexing down the fingers leading to an inability to extend
Colles fracture?
Monteggia fractirue?
Galeazzi fracture?
Outstretched hand, breaks distal radius which goes backwards
Break proximal ulna and dislocate proximal radial head
Fracture of distal radius with dislocation of distal ulna
What will the position be of the shoulder with anterior dislocation and posterior dislocation?
Adducted and externally related
Adducted and internally rotated
Two things to remember about scaphoid fracture?
Pain in snuff box
Avascular necrosis
What ligament is torn with anterior blow or posterior blow?
Anterior blow leads to PCL tear
Posterior blow leads to ACL tear
