Sen Surg PACES Misc Flashcards
SVR: Scar Examination
Location Orientation Size ?Well Healed ?Incisional Hernia
.’. Consistent w _ op for _ condition
Abdo: Stoma Examination
Site Lumen Sprout Effluent Surrounding Comps
Listen for bowel sounds + pt cough
Look for scars + abdo exam if indicated
Abdo: Stoma Qs
Define a stoma
Indications for a stoma
Ileostomy vs Colostomy
Why would you do a colostomy
How do you know it’s functioning
Indications for an emerg Hartmanns
Complications of a stoma
How much fluid would be normal to lose from a stoma
When do you remove it
Abdo: Pancreatitis Qs
What would be possible ddx
List the causes of acute pancreatitis
Why do you get Cullens, Grey Turners, Foxs
What ix would you perform
What are the three reasons you’d get an AXR
Difference b/w MRCP + ERCP
What scoring system is used
How does this affect mx
General mx principles
Abdo: Upper GI Bleeding Qs
What would be possible ddx
What is the Mackler triad of Boerhaave syndrome
Which ix would you perform
What is the difference b/w XM + G&S
What scoring system is used
How does this affect mx
General mx principles
I+I: What are the three indications for an AXR?
Obstrc/volvulus, UC toxic megalon/lead pipe, foreign body
NEVER CONSTIPATION
I+I: What should you say if they show you an xray of a limb in one plane?
Ask for another view to ascertain if there is a fracture
T+O: Mx of Fracture
ATLS, Assess NV Status, 4R’s
Closed: once stable non-op document NV status, analgesia, activity modification, reduce, casts, splints, traction + operative fixation
Open: photograph, cover w saline soaked gauze, give IV abx + tetanus, splint and xray, debride + washout +/- fixation
If GA3b require plastics input for graft
If GA3c require vasc surgeons for shunt bypass before exfix, vasc repair, debridement, dressing, def fixation
Finally physio would be involved for rehabilitation: use, move, strengthen, WB
