Missed combank concepts Flashcards Preview

surgery comat > Missed combank concepts > Flashcards

Flashcards in Missed combank concepts Deck (24)
Loading flashcards...
1

temporal presentation due to cause of splanchnic aneurysms

younger patients - fibromuscular dysplasia
elderly females - portal hypertension
most common - splenic arteries

2

treatment for hiatal hernias

type I: symptomatic - omeprazole
type II, III, IV - surgical correction d/t risk of volvulus

3

treatment for achalasia

dor fundoplication
180 degree anterior wrap

tuopet fundoplication - 270 degree posteiror wrap of the fundus around the esophagus

nissen fundoplication - circumferential wrap

4

gold standard therapy for GERD

nessen fundoplication

5

burn is red in apperance
blanches with pressure
sensation intact

first degree burn
involves only the epidermis

6

burn that causes skin to be red with blisters, moist, elastic and blanch with pressure

superficial second degree burn
epidermis and superficial dermis
most of skin appendages will be intact
sensation intact
1-3 week healing

7

burn that causes skin to appera white with few erythematous areas
dry, waxy, loses elasticity and limited blanching

deep second degree burn
most of dermis and most skin appendages have been destroyed
sensation will be decreased but not anesthetic
3 week healing

8

white or charred with thrombosed vessels
dry and leathery skin
no blanching
sensation is limited

third degree
all of dermis and all skin appendages
wounds do not heal well and scar with contracture

9

deep, potentially lfie threatening burn that extends into underlying tissues suhc as fascia, muscle and/or bone

fourth degree burns

10

treatment for MRSA

vanco
or
linezolid
linezolid binds 23s ribosomal RNA of 50s SU
prevents 70 formation
prevents translation

bacteriostatic against enterococci and stpahylococci

bacteriostatic against streptococci

11

treatment of skin infections with s. aureus or s pyogenes

cefepime

12

liver mass- hypervascular nodule that contains arteriovenous connections
poorly encaspulated nodule with central depressed stellate scar that contains blood vessels

focal nodular hyperplasia

observe - remove if symptomatic

13

LE paraplegia and loss of pain and temperature sensation
intact proprioception

anterior spinal cord syndrome
can occur during thoraco-abdominal aneurysm repair

14

sterile environments with no source of infection present other than potential skin contaminants

clean wounds

15

accidental wounds that involve violation of sterile feidls or gross spillage of infectious contents into a previously sterile field

contaminated wounds

16

traumatic wounds that have significant delay in attaining treatment, oftentimes including areas of necrosis or frank purulence

gross contaminated

17

wounds with sterile field and associated controlled opening of hollow viscus organ without gross spillage of contents

clean contaminated

18

treatment for esophageal ring

esophageal dilation

19

treatment for gastric adenocarcinoma is dependent on location of the tumor
dif between atnrum and middle/upper stomach

antrum - subtotal gastrectomy
middle or upper stomach - total gastrectomy

20

retracted foreskin develops a fixed constriction proximal to the glans
distal penis engorges with blood and can lead to compromise

paraphimosis

21

inflammation of hte penis secondary to infection

balanoposthitis

22

chronic inflammation of hte tunica albuginea

peryonie's disease

23

inability to retract the foreskin proximally to the glans penis

phimosis

24

treatment for intestinal malrotation

ladd's procedure to remove ladd's bands
fibrous extension of the peritoneum that anchor the cecum to the abdominal wall
reduces malrotation