ABSITE Killer Flashcards
(41 cards)
Howship Romberg sign
Inner thigh pain with internal rotation (obturator hernia)
Which nerve traverses the inguinal canal and what does it provide sensation to?
Ilioinguinal nerve; sensation to superomedial thigh and scrotum
Which nerve runs on the spermatic cord?
G branch of GF nerve
What is a spigelian hernia?
Inferior to linea semicircularis, through lines of semilunaris, deep to external oblique; incarcerates bowel
Petit’s hernia
Inferior lumbar triangle (iliac crest, external oblique, lat dorsi)
Gynfel’ts hernia
Superior lumbar triangle
What kind of cells do you see on path for a Krukenberg tumor?
Signet cells
What is Meig’s syndrome?
Pelvic tumor, ascites, hydrothorax
What is the most common peripheral aneurysm?
Popliteal aneurysm; 50% bilateral, 1/3 have AAA; risk of emboli and thrombosis
1 visceral aneurysm
Splenic; Resect if >2 cm, child bearing or planning pgx, or symptomatic
AAA rupture risk based on size
< 5 cm 20% 5 year risk; 5-7 cm 33% 5 year risk, > 7 95% 5 year risk (increased risk with HTN, COPD)
Bloody diarrhea in the first few days following AAA repair demands…
Sigmoidoscopy to evaluate for ischemic colon, due to loss of IMA – take to OR if necrosis
Initial treatment of claudication
Smoking cessation, exercise, not SURGERY
! CN nerve injury with CEA
Vagus, hoarseness
FM dysplasia
Young woman; R renal artery most likely involved; amenable to angioplasty
Atherosclerosis pathology
Type I foam cells (lipids in macrophages), II fibrointiimal lesion; smooth muscle proliferation, III disruption exposes collagen/thrombosis
What are markers for non-seminomatous testicular cancer?
BHCG, AFP
How do you find out of a testicular cancer is cancer?
Orchiectomy via inguinal incision; never transscrotal
Are seminomas radio-sensitive?
Yes
Node + seminoma gets what kind of CTX?
Platinum CTX
Orchiopexy for cryptoorchidism increases/decreases risk for ca/fertility
Increases fertility; does not decrease cancer risk
How do you treat testicular torsion?
Bilateral orchipexy
L gonadal vein drains into L renal vein or IVC
L renal vein
How do you diagnose uretheral injury?
RUG
