Abdomen Flashcards Preview

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Flashcards in Abdomen Deck (67):
1

therapy for pud

oca, bmt, bmt + ppi

2

truncal vagotomy requires what?

gastric drainage procedure

3

truncal vagotomy causes what

gastric atony

4

destruction of pyloric sphincter causing abrupt delivery of hyperosmolar load to SI

dumping syndrome

5

early dumping time

15-30mins post meal

6

late dumping

2-3 hrs post meal

7

cause of early dump

peripheral and splanchnic vasodilation... tx saline or recumbency

8

cause of late dumping

hyperinsulinemia... tx with glucose

9

med mgt for dumping syndrkme

octreotide, alpha glucosidase inhibitor

10

sx treatment of dumping synd

roux en y anastomisis

11

gastrin producing tumor

zollinger ellison syndrome

12

sx procedure for gastric adenoca

radical subtotal gastrec

13

gist arise from

interstitial cells of cajal

14

most impt prognostic factor in gist

mitotic count

15

tumkr marker for gist

ckit cd117 and cd34

16

donut sign

gist

17

dilated mucosal vessels in distal stomach

watermelon stomach

18

portal triad

portal vein, hepatic artery, cbd

19

what maneuver compresses the hepatoduodenal ligament?

pringle

20

cirrhosis - presence of ____ leading to____

fibrous septa, hepatic nodules

21

treatment of choice for sbp

cefotaxime

22

sbp etiology - community

e coli

23

sbp - nosocomial

strep and staph

24

normal portal pressure

5-10

25

most accurate method to determine portal pressure

hepatic venography

26

pharma tx for esophageal varices

vasopressin and OCTREOTIDE

27

for refractory bleeding, sx management?

surgical shunt pag child a, TIPS pag child b and c

28

budd chiari primary and secondary?

primary - hepatic thrombosis, secondary - veins compressed by neighboring lesion

29

congestive hepatopathy due to obstruction of venius outflow

budd chiari

30

pyogenic liver more common on the

RIGHT

31

anchovy paste

amebic liver abscess

32

treatment for amebic liver abscess

metro

33

amebic liver abscess common location

superoanterior of r lobe

34

hemangioma ct findings

asymmetrical peripheral enhancement with progressive centripetal enhancement

35

liver most common benign solid mass

hemangioma

36

most frequently encountered liver lesion overall

hepatic cyst

37

liver mass related to use of ocps

adenoma

38

gold standard for choledocholithiasis

ercp

39

charcott triad

fpj

40

reynaud pentad

fpj plus shock and impaired mental status

41

types of choledochal cysts

1 fusiform, 2 saccular, 3 choledococoele, 4a extra and intra, 4b extra, 5 caroli intra

42

klatskintumor

perihilar cholangiocarcinoma

43

most common presentation of bile duct carcinoma

painless jaundice

44

SBO cardinal symptoms

vodca

45

triad of sbo

dilated small bowel, air fluid level, paucity of air in colon

46

most common ca in small bowel

adenoca

47

most prevalent congenital anomaly in git

meckels diverticulum

48

meckels diverticulum etiology

persistence of vitelline or omphalomesenteric duct

49

meckel diverticulum locaton

ileum usually

50

main duct of pancreas

wirsung

51

accesssory duct of pancreas

santorini

52

periumbilical ecchymosis

cullen sign

53

grey turner sign

flank ecchymosis

54

scoring for acute panc

bisap

55

scoring for AA

alvarado

56

whipple triad. seen in?

symptomatic fasting hypogly, glucose <50, relief with glucose. inuslinoma

57

mannagement of insulinoma.

enucleation. except if close to main fuct or at the tail

58

appendiceal carcinoid tumor management. right hemicolec if

nasa base, with mesoappendecial invasion, may mets, more than 2cm

59

widest and narrowest portion of colon?

cecum, sigmoid

60

most common colonic volvulus

sigmoid

61

common location of diverticulitis

sigmoid

62

right sided diverticulitis blah blah

younger pts, mimics appendicitis, asians!

63

hallmark of replication error pathway ng colon ca

microsatellite instability

64

waldeyer fascia.

retrosacral fascia of rectum

65

denonvillier fascia

anterior fascia of rectum

66

rectum. valves of what?

houston

67

surgery indicated for what degree of hemorrhoids?

3rd and 4th