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Jason's MD2 Surgery Rotation > Plastics Tutorial > Flashcards

Flashcards in Plastics Tutorial Deck (24):
1

fluctuance tests for what?

cystic vs. solid

2

always test what for glands?

regional lymph nodes

3

sieve for plastics?

congenital
trauma, implantation: foreign body
inflammatory (TB abscess?)
neoplastic
malignant: prim and secondary
vessels: art, veins, cap, lymph
metabolic: DM2

4

where is a common secondary site for melanoma or bowel cancer?

skulll

5

any nerve lesion you get?

motor
sensory
sympathetic

6

motor nerve lesion, look for?

wasting and deformity

7

ulnar claw, why?

lumbricals, flexes MP joins, straightens IP joints

lateral side, lumbricals can support

8

median nerve supplies which muscles in forearm?

palmaris longus
FCU
medial 2 tendons of FDP

9

sympathetics supply what in hand?

arterioles
sweat glands

10

how to test for sweat glands in hand?

pen drag across tips of finger, should have some friction

11

recovery rate of peripheral nerve?

1mm/day

12

testing for high median nerve?

test for FDS

13

how to test for ulnar

extension of finger, wrist, elbow

14

how to test for ulnar motor finger extension?

extend wrist then extend the fingers

15

what imaging for a plastics?

x-rays
take a picture for consultant, wide angle, and closeup

16

role of tourniquet in surgery?

safety net in case it's bleeding

17

DDDs of infection?

Dirt, debris
dead tissue
dead space

18

how to tell if muscle is still viable in surgery?

contracts, and bleeds, trim till it bleeds

19

3 ways close

1.immediately: primary closure
2. delayed primary: with vac-dressing, leave for 48hrs. (make sure dead tissue it all gone, and infection)
3. secondary closure: closing of granulating

20

3 ways to close wound

primary closure
graft
flap

21

3 kinds of skin graft

partial thickness, split dermis

full thickness

cartilage and fat

22

what two structures in skin have the healing epithelial and stem cells?

hair
sweat glands

23

3 ways to control bone in a fracture

external fixation
traction
internal fixation

24

lesion description

Site, size, shape
surface, edge, base, pigmented
discharge biopsy
pulsatile, fluctuance

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