Flashcards in Surgery Deck (18)
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1
Which direction does the trachea deviate in a tension pneumothorax?
Away from the pneumothorax
2
What neurosurgical emergency is associated with battle's sign (ecchymosis behind the ear)?
basilar skull fracture
3
What is the rule of 9s with regard to burn injuries - what are the divisions of the body that each account for 9%? (11)
head, each arm, anterior/posterior of each leg, torso is 18% anterior and 18% posterior
4
What is the antidote to a white phosphorus burn?
1% copper sulfate and calcium gluconate injection
5
What is the antidote to a hydrofluoric acid burn?
lavage for > 30 minutes then application of calcium gluconate gel to affected areas
6
What is the formula for fluid resuscitation in burn patients?
% burn area x body weight (kg) x 4 = total needed in first 24 hours. Half given in first 8 hours then remainder over the next 16. All crystalloid - LR recommended.
7
What is a curling ulcer?
an ulcer associated with burn victims in the stomach or duodenum
8
What kind of cancer is associated with healed/healing burns?
SCC (marjolin ulcer transformation)
9
What is the timeline for atelectatic induced post operative fever?
24-48 hours
10
What is the timeline for post operative fever induced by UTI?
48-72 hours
11
What is the timeline for post operative fever induced by wound infection?
>72 hours
12
What treatment has been proven to improve keloid scaring?
kenalog injection (triamcinolone)
13
How do you properly identify an organism in a pressure ulcer?
biopsy
14
In a patient with cellulitis, what triad of test results increases your index of suspicion for necrotizing fasciitis?
WBCs > 14k, BUN > 15, Na < 135
15
What is the initial antibiotic management for necrotizing fascitis?
Carbapanem + Clinda + MRSA coverage (vanc/dapto/zyvox) alternate agents: aminoglycoside/fq + flagyl
16
What is the impact of insuflation and pneumoperitoneum on cardiac function?
Decreases CO by as much as 30%
17
What is the most common complication of appendectomy?
Open: wound infection, Lap: abscess
18
