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Flashcards in Random Kaplan Qbank Deck (15):
1

documented DVT on exam and recent history of intracranial surgery - what do you do?

place IVC filter
- ALL anticoagulation is absolutely contraindicated

2

patient with a cataract - recommended management?

if patient is comfortable with their vision - surgery or glasses may not be necessary; refer to ophtho for more detailed analysis

3

MCC complication post-thyroid surgery?

hematoma - thyroid is highly vascular organ

4

what do you do if a patient post-thyroid surgery begins to have stridor, difficulty breathing and cyanosis?

open their wound to evacuate the hematoma that is likely causing compression

5

child presents with severe throat pain, difficulty swallowing, drooling, pain radiating to the ear, trismus and fever - dx?

peritonsillar abscess

6

tx. peritonsillar abscess

antibiotics
tonsillectomy

7

indications for tonsillectomy

1. peritonsillar abscess
2. obstructive tonsils + sleep apnea
3. dysphagia
4. speech defects
5. inability to cry
6. 7 cases of strep in 1 year, 5 in each of 2 years, 3 in each of 3 years

8

MC perioperative event associated with major vascular surgery

myocardial infarction
- should receive coronary angiogram prior to surgery to assess need for bypass/stenting

9

necrotizing diabetic foot infection

serous brown discharge
swelling of the foot
crepitus
fever
high leukocyte counts

10

management of necrotizing diabetic foot ulcer

1. foot and leg XR to delineate spread
2. OR - debridement/amputation

11

Tx. choledochal cyst

surgical removal

12

complication of ERCP

pancreatitis -due to injury to ampulla of Vater or retrograde injection of contrast material (5-7% of patients)

13

complications after ERCP

1. pancreatitis
2. cholangitis
3. pancreatic pseudocyst formation
4. perforation

14

transfusion associated acute lung injury

hypoxemia and lung infiltrates w/in 24 hours of blood transfusion

15

what causes TRALI?

anti-granulocyte abs in the blood donor