Random Flashcards
(97 cards)
Triad of Ileus in SFA
- Dilated small bowel loops (>3 cm dismeter)
- Air-fluid levels seen on upright film
- Paucity or absence of air in colon
Difference between bowel obstruction vs paralytic ileus
Bowel obstruction has paucity of gas beyond the site of obstruction, ileus has gas in the rectum (presacral gas)
Helatocellular adenoma
Hormone-induced liver tumor, solid & encapsulated usually in women of child bearing age.
Cause: oral contraceptives, androgen steroid therapy
=can cause life threatening hemorrhage & malignant transformatiom
Scoring for acute pancreatitis
- BISAP: (BUN >25 mg/dl, impaired mental stat, SIRS, >60 y/o, Pleural eff) ➡️ 1 pt each & for first 24 hrs
- Ranson’s: severity scoring (11 parameters - 5 upon admission & 6 for next 48 hrs)
- APACHE II: patients in ICU
- Harmless acute pancreatitis score: w/in 30 mins of admission (no rebound tenderness/guarding, N hct, N serum crea)
TRIAD for Acute Cholangitis
Charcot’s triad: RUQ pain, fever, jaundice
Pentad for Acute Cholangitis
Reynold’s pentad: RUQ pain, fever, jaundice, hypotension, altered mental status
Initial surgical treatment & TOC for acute colangitis
ERCP with stenting but if patient is unstable to do ERCP, we can opt for percutsneous Transhepatic Biliary Drainage
What nerve is associated with the parasympathetic system?
vagus nerve
What does melena indicate?
upper gastrointestinal bleeding
Which intercostal nerve is involved in a subcostal incision?
7th intercostal nerve
What condition is characterized by the presence of gallstones?
cholelithiasis
What is the primary cardiac pacemaker?
right atrium
Where is the mitral valve located?
at the apex
Where is the apex beat palpated?
5th left intercostal space midclavicular line
In a hysterectomy, where is the ureter located in relation to the uterine vessels?
inferior to uterine vessels
In a pelvic CT scan, where is the uterus located?
posterior to the bladder and anterior to the rectum
What muscle is affected if a person is unable to wink?
orbicularis oculi
What three structures are located in the right lower quadrant?
*Camper’s Fascia
*External oblique muscle
*Internal oblique muscle
What arteries branch off the external iliac artery?
*Femoral artery
*Popliteal artery
Which nerve roots are associated with the long extensor of the big toe?
L5, S1
Which muscle is primarily responsible for chewing?
buccinator
What layer of deep cervical fascia is associated with the thyroid during deglutition?
pretracheal layer
Where is the airway located in relation to the thyroid cartilage?
just below the thyroid cartilage
What anatomical landmark corresponds to the sternal angle of Louis?
2nd rib