deck_1106041 Flashcards

(86 cards)

2
Q

What is afferent loop syndrome?

A

Obstruction of the afferent loop of a Billroth II gastrojejunostomy

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3
Q

What does ARDS stand for and what’s the pathophys?

A

Acute Respiratory Distress Syndrome (poor oxygenation caused by leaky capillaries)

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4
Q

What is blind loop syndrome?

A

Bacterial overgrowth of intestine caused by stasis

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5
Q

What is Boerhaave’s syndrome?

A

Esophageal perforation

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6
Q

What is Budd-Chiari syndrome?

A

Thrombosis of hepatic veins

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7
Q

What is carcinoid syndrome?

A

“B FDR”1)Bronchospasm2)Flushing3)Diarrhea4)R-sided HF

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8
Q

What is compartment syndrome?

A

Compartmental HTN caused by edema, resulting in muscle necrosis of the lower extremity, seen in the calf; pt may have a distal pulse

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9
Q

What is Cushing’s syndrome?

A

Excessive cortisol production

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10
Q

What is dumping syndrome?

A

Delivery of a large amt of hyperosmolar chyme into the small bowel, usually after vagotomy and a gastric drainage procedure (pyloroplasty/gastrojejunostomy); results in autonomic instability, abdominal pain, and diarrhea

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11
Q

What is Fitz-Hugh-Curtis syndrome?

A

Perihepatic gonorrheal infection

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12
Q

What is Gardener’s syndrome?

A

GI polyps and associated findings of Sebaceous cysts, Osteomas, and Desmoid tumors (SOD); polyps have high malignancy potential

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13
Q

What is HITT syndrome?

A

Heparin-Induced Thrombocytopenic Thrombosis syndrome: Heparin-induced plt ab’s cause plt’s to thrombose vessels, often resulting in loss of limb or life (aka, “white clot syndrome”)

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14
Q

What is Leriche’s syndrome?

A

CIA: Claudication of buttocks, thighs, Impotence, Atrophy of legs (seen w/ iliac occlusive disease)

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15
Q

What is Mallory-Weiss syndrome?

A

Post emesis/retching tears in the gastric mucosa (near gastroesophageal junction)

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16
Q

What is Mendelson’s syndrome?

A

Chemical pneumonitis after aspiration of gastric contents

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17
Q

What is Mirizzi’s syndrome?

A

Extrinsic obstruction of the common hepatic duct from a cystic duct gallstone

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18
Q

What is Munchausen syndrome?

A

Self-induced illness

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19
Q

What is Ogilvie’s syndrome?

A

Massive nonobstructive colonic dilation

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20
Q

What is Peutz-Jeghers syndrome?

A

Benign GI polyps and buccal pigmentation

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21
Q

What is Plummer-Vinson syndrome?

A

Syndrome of:1)Esophageal web2)Iron-deficiency anemia3)Dysphagia4)Spoon-shaped nails5)Atrophic oral and tongue mucosa(usually in elderly women; 10% develop SCC)

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22
Q

What is RED reaction syndrome?

A

Syndrome of rapid vancomycin infusion, resulting in skin erythema

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23
Q

What is refeeding syndrome?

A

Hypokalemia, hypomagnesemia, and hypophosphatemia after refeeding a starved pt

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24
Q

What is Rendu-Osler-Weber (ROW) syndrome?

A

Syndrome of GI tract Telengiectasia/A-V malformations

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25
Q

What is short-gut syndrome?

A

Malnutrition resulting from less than 100cm of viable small bowel

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26
What is another name for Sipple's syndrome?
MEN II
27
What is superior vena cava (SVC) syndrome?
Obstruction of the SVC (eg, by a tumor, thrombosis)
28
What is thoracic outlet syndrome?
Compression of the structures exiting from the thoracic outlet
29
What is the Tietze's syndrome?
Costochondritis of rib cartilage; aseptic (tx w/ NSAIDs)
30
What is toxic shock syndrome?
S.aureus toxin-induced syndrome marked by fever, hypotension, organ failure, and rash (desquamation -- esp palm and soles)
31
What is Trousseau's syndrome?
Syndrome of deep venous thrombosis (DVT) associated w/ carcinoma
32
What is another name for Wermer's syndrome?
MEN I
33
What is Zollinger-Ellison syndrome?
Gastrinoma and PUD
34
What is the mc indication for surgery w/ Crohn's disease?
Small bowel obstruciton (SBO)
35
What is the mc type of melanoma?
Superficial spreading
36
What is the mc breast cancer?
Infiltrating ductal
37
What is the mc site of breast cancer?
Upper outer quadrant
38
What is the mc vessel involved w/ a bleeding duodenal ulcer?
Gastroduodenal artery
39
What is the mc cause of common bile duct obstruction?
Choledocolithiasis
40
What is the mc cause cholangitis?
Bile duct obstruction resulting from choledocolithiasis
41
What is the mc cause of pancreatitis?
EtOH
42
What is the mc bacteria in stool?
B.frag (Bacteroides fragiles)
43
What is the mc cause of SBO in adults in the US?
Adhesions
44
What is the mc cause of SBO in children?
Hernias
45
What is the mc cause of emergency abdominal surgery in the US?
Acute appendicitis
46
What is the mc site of GI carcinoids?
Appendix
47
What is the mc AXR finding w/ SBO?
Air-fluid levels
48
What is the mc electrolyte deficiency causing ileus?
Hypokalemia
49
What is the mc cause of transfusion hemolysis?
Clerical error
50
What is the mc cause of blood transfusion resulting in death?
Clerical error (wrong blood types)
51
What is the mc site of distant metastasis of sarcoma?
Lungs
52
What is the mc cause of shock in a surgical pt?
Hypovolemia
53
What is the mc cause of esophageal perforation?
Iatrogenic
54
What is the mc position of anal fissure?
Posterior
55
What is the mc cause of large bowel obstruction?
Colon cancer
56
What is the mc type of colonic volvulus?
Sigmoid volvulus
57
What is the mc cause of fever <48hrs post-op?
Atelectasis
58
What is the mc bacterial cause of UTI?
E.coli
59
What is the mc CXR finding w/ traumatic thoracic aortic injury?
Widened mediastinum
60
What is the mc abdominal organ injured in blunt abdominal trauma?
Spleen
61
What is the mc abdominal organ injured in penetrating abdominal trauma?
Small bowel
62
What is the mc benign tumor of the liver?
Hemangioma
63
What is the mc malignancy of the liver?
Mets
64
What is the mc PNA in the ICU?
Gram-negative bacteria
65
What is the mc cause of epidural hematoma?
Middle meningeal artery injury
66
What is the mc cause of lower GI bleeding?
Upper GI bleeding
67
What is the mc hernia?
Inguinal hernia (right>left)
68
What is the mc cause of esophageal laceration?
Iatrogenic instrumentation (eg, EGD=esophagogastroduodenoscopy)
69
When can a pt eat prior to major surgery?
Pt should be NPO after midnight the night before or at least for 8hrs before surgery
70
What risks should be discussed with all pts and documented on the consent form for a surgical procedure?
Bleeding, infection, anesthesia; other risks are specific to the individual procedure
71
If a pt is on antihypertensives, should the pt take them on the day of the procedure?
Yes (remember clonidine "rebound")
72
If a pt is on an oral hypoglycemic agent (OHA), should the pt take it on the day of the surgery?
Not if the pt is to be NPO on the day of the surgery
73
If a pt is taking insulin, should the pt take it on the day of the surgery?
No, only half of a long-acting insulin and start D5 NS IV; check glucose levels often preoperatively, operatively, and postoperatively
74
Should a pt who smokes cigarettes stop before an operation?
Yes, improvement is seen in just 2 to 4 wks after smoking cessation
75
What laboratory test must all women of childbearing age have before entering the OR?
bHCG and CBC bc of the possibility of pregnancy and anemia from menses
76
What preoperative procedure should be performed before colon surgery?
Bowel prep with colon cathartic (goLYTELY), oral ABXs (neomycin and erythromycin base), and IV ABX before incision
77
What pre-op medication can decrease post-op cardiac events and death?
Beta-blockers
78
What must you always order pre-op for your pt undergoing a major operation?
-NPO/IVF-Pre-op ABXs-Type and cross blood (PRBCs)
79
Define the following procedure: Billroth I
Antrectomy w/ gastroduodenostomy
80
Define the following procedure: Billroth II
Antrectomy w/ gastrojejunostomy
81
Define the following procedure: Roux-en-Y limb
Jejunojejunostomy forming a Y-shaped figure of small bowel; the free end can then be anastomosed to a second hollow structure (eg, gastrojejunosomty)
82
Define the following procedure: Brooke ileostomy
Standard ileostomy that is folded on itself to protrude from the abdomen approximately 2cm to allow easy appliance placement and collection of succus
83
Define the following procedure: CEA
CarotidEndArterectomy; removal of atherosclerotic plaque from a carotid artery
84
Define the following procedure: Bassini herniorrhapy
Repair of inguinal hernia by approximating transversus abdominis aponeurosis and the conjoint tendon to the reflection of Poupart's (inguinal) ligament
85
Define the following procedure: McVay herniorrhaphy
Repair of inguinal hernia by approximating the transversus abdominis aponeurosis and the conjoint tendon to the Cooper's ligament (which is basically the superioir pubic bone periosteum)
86
Define the following procedure: Lichtenstein herniorrhaphy
"Tension-free" inguinal hernia repair using onlay mesh (synthetic graft material)
87
Define the following procedure: Shouldice herniorrhaphy
Repair of inguinal hernia by imbrication of the transversalis fascia, transversus abdominis aponeurosis, and the conjoint tendon and approximation of the transversus abdominis aponeurosis and the conjoint tendon to the inguinal ligament