OSCE Flashcards Preview

Surgery > OSCE > Flashcards

Flashcards in OSCE Deck (6):
1

LA max dose

Lignocaine
4mg/kg
7mg/kg if w/ adrenaline

60kg patient
= 24ml 1%
= 42ml 1% + adrenaline
= 12ml 2%

1ml Adrenaline (1:200000)
= 5ug

60kg pt max dose adrenaline: 120ug (24ml)

2

Signs of LA toxicity

1. CIrcumoral numbness
2. Lightheadedness
3. Dizziness
4. Visual blurring
5. Tinnitus
6. Coma
7. Seizure
8. VF

3

Sutures

Absorbable: Catgut, Vicryl

Non-absorbale: Prolene, Nylon

Remove in 1wk (HN)
2wk (Limbs)

4

Lumps and bumps description

"6 Students and 3 Teachers go for CAMPFIRE"

Site and number
Shape
Size
Surface
Skin
Scar

Tenderness
Temp
Transillumination

Consistency
Edge
Attach to skin/muscle
Mobility
Pulsation?
Fluctuation
Irreducibility
Regional LNs

On inspection, there are multiple lumps on the back
The largest one is on the right, which is oval shaped, 2cm in size with smooth surfaces
The overlying skin looks normal
No scars

On palpation, there is no tenderness, the consistency is soft
It is mobile and does not attach to underlying tissue The edge is smooth.
There is some fluctuation but no transillumination

5

Groin swellings

Inguinal hernia
Femoral hernia
Undescended testis
LN
Saphena varix
Pseudoaneurysm of fem a.
Lipoma
Sebaceous cyst

6

Scrotum swelling

Inguinal hernia
Hydrocele
Varicocele
Epididymal cyst
Testicular tumor
Lipoma/Seb cyst